Individual
MR. PAUL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2255 LEWISVILLE CLEMMONS RD, SUITE E, CLEMMONS, NC 27012-7463
(336) 766-0505
(336) 766-0153
Mailing address
2255 LEWISVILLE CLEMMONS RD STE E, CLEMMONS, NC 27012-7460
(336) 766-0505
(336) 766-0153
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001000123
NC
Other
Enumeration date
11/27/2006
Last updated
04/20/2016
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