Individual
DR. MICHAEL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 PEACHTREE DUNWOODY RD NE, SUITE 201, ATLANTA, GA 30342-1703
(404) 843-3323
(404) 574-5944
Mailing address
5555 PEACHTREE DUNWOODY RD NE, SUITE 201, ATLANTA, GA 30342-1703
(404) 843-3323
(404) 574-5944
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
P21939
MD
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
064379
GA
Other
Enumeration date
08/15/2007
Last updated
05/20/2014
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