Individual
MRS. PIA SHATOREE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 RICHLAND MED PK DR STE 300, COLUMBIA, SC 29203-6831
(803) 434-7910
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26237
SC
Other
Enumeration date
06/28/2022
Last updated
07/26/2022
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