Individual
DONALD GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10424 TAKERIDGE CT, CHARLOTTE, NC 28277-8731
(803) 586-8673
Mailing address
10424 TAKERIDGE CT, CHARLOTTE, NC 28277-8731
(803) 586-8673
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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