Individual
CATHERINE M GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 EXECUTIVE DR, JACKSON, TN 38305-2337
(731) 664-2083
(731) 664-1988
Mailing address
45 EXECUTIVE DR, JACKSON, TN 38305-2337
(731) 664-2083
(731) 664-1988
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD012557
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035359
BC/TN PROVIDER #
TN
05
—
3024166
—
TN
Enumeration date
09/20/2006
Last updated
03/16/2015
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