Individual
JAMAL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3420 WAKE FOREST RD, DURHAM, NC 27703-3522
(919) 596-9464
Mailing address
8803 COMMONS TOWNES DR, RALEIGH, NC 27616-8083
(919) 521-0911
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6691
NC
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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