Individual
MR. CHRISTOPHER BRIAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5220 PARK AVE STE 150, MEMPHIS, TN 38119-3548
(901) 755-2255
(901) 755-9566
Mailing address
5220 PARK AVE STE 150, MEMPHIS, TN 38119-3548
(901) 755-2255
(901) 755-9566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25222
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122349
—
TN
01
—
0199756
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/11/2006
Last updated
10/30/2018
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