Individual
MRS. HA VO GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, WINSTON SALEM, NC 27157-0001
(336) 716-4101
(336) 716-2810
Mailing address
1 MEDICAL CENTER DR, WINSTON SALEM, NC 27157-0001
(336) 716-4101
(336) 716-2810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00312
NC
363A00000X
Physician Assistant
Primary
PA9104574
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9104574
LICENSE
FL
Enumeration date
11/21/2006
Last updated
03/03/2026
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