Organization
DRS. GREEN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA T. OSTERMEYER (OFFICE MANAGER)
(423) 764-1084
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK BLVD, SUITE 450W, BRISTOL, TN 37620-7430
(423) 968-3713
(423) 968-7352
Mailing address
1 MEDICAL PARK BLVD, SUITE 450W, BRISTOL, TN 37620-7430
(423) 968-3713
(423) 968-7352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
009980
TN
207R00000X
Internal Medicine Physician
011243
TN
207R00000X
Internal Medicine Physician
023958
TN
207R00000X
Internal Medicine Physician
038379
TN
207RN0300X
Nephrology Physician
015559
TN
207RN0300X
Nephrology Physician
034106
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3033397
—
TN
05
—
3037795
—
TN
05
—
3037796
—
TN
05
—
3151325
—
TN
05
—
4017031
—
TN
05
—
4091342
—
TN
Enumeration date
07/29/2006
Last updated
06/26/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us