Organization
TERESA A GREEN DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA GREEN DC (OWNER/CHIROPRACTOR)
(804) 477-3194
Entity
Organization
Contact information
Practice address
5700 OLD RICHMOND AVE STE A4, RICHMOND, VA 23226-1828
(804) 477-3194
(804) 477-3324
Mailing address
5700 OLD RICHMOND AVE STE A4, RICHMOND, VA 23226-1828
(804) 477-3194
(804) 477-3324
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255395661
NPI
—
Enumeration date
10/04/2021
Last updated
10/26/2022
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