Individual
CHRISTINA DENISE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 MEDICAL PARK DR STE 100, BENTON, AR 72015-3722
(501) 776-6249
(501) 574-7901
Mailing address
3 MEDICAL PARK DR STE 100, BENTON, AR 72015-3722
(501) 776-6249
(501) 574-7901
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E-8669
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2012
Last updated
04/24/2023
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