Individual
TORRANCE TREMAYNE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2506 LAKELAND DR STE 310, FLOWOOD, MS 39232-7640
(601) 832-8922
Mailing address
4617 BILLY FIELDS RD, EDWARDS, MS 39066-9151
(601) 832-8922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23305
MS
207R00000X
Internal Medicine Physician
MD.206275
LA
207RN0300X
Nephrology Physician
23305
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
INTERN
—
LA
Enumeration date
06/10/2011
Last updated
06/11/2024
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