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Individual

DR. GEORGE CAMERON GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 SPAULDING RD STE 1, MARION, NC 28752-5116
(828) 659-5459
(828) 659-9518
Mailing address
100 SPAULDING RD STE 1, MARION, NC 28752-5116
(828) 659-5459
(828) 659-9518

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
34017
NC
207X00000X
Orthopaedic Surgery Physician
Primary
34017
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36931
BLUE CROSS OF NC PROVIDER
NC
01
5077460001
PALMETTO GOV BENEFITS NUM
NC
05
891357E
NC
Enumeration date
05/04/2006
Last updated
10/22/2015
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