Individual
DR. LINDA HAYNIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4103 STEMLEY BRIDGE RD, PELL CITY, AL 35128-7519
(205) 338-7662
(205) 884-8862
Mailing address
4103 STEMLEY BRIDGE RD, PELL CITY, AL 35128-7519
(205) 338-7662
(205) 884-8862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C-4828
AR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
26919
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630400147
—
AL
05
—
630408147
—
AL
05
—
630410147
—
AL
05
—
630412147
—
AL
Enumeration date
05/11/2006
Last updated
10/14/2010
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