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Organization

MICHAEL E. GREENE MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL E GREENE M.D. (OWNER)
(478) 746-3800
Entity
Organization

Contact information

Practice address
682 HEMLOCK ST, SUITE 200, MACON, GA 31201-6883
(478) 746-3800
(478) 746-3882
Mailing address
PO BOX 26940, MACON, GA 31221-6940
(478) 746-3800
(478) 746-3882

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
034840
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000473943I
GA
01
08BBRSQ
UNKNOWN
GA
01
GRP7284
PTAN
GA
Enumeration date
07/01/2006
Last updated
04/17/2015
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