Individual
MR. MAURICE CLARENCE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5906 BAREFOOT LN, CONCORD, NC 28025-9109
(202) 200-2279
Mailing address
5906 BAREFOOT LN, CONCORD, NC 28025-9109
(202) 200-2279
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
NC
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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