Individual
DR. PHILLIP EDWARD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2600
Mailing address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2600
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
17865
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105352001
—
AR
05
—
200016267
—
MS
05
—
Q056015
—
TN
Enumeration date
06/22/2005
Last updated
05/15/2025
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