Individual
HUNTER GREEN PLOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
1019 MONROE AVE, SAINT MICHAELS, MD 21663-2960
(443) 786-2051
Mailing address
1019 MONROE AVE, SAINT MICHAELS, MD 21663-2960
(443) 786-2051
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D02221
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790748283
K3071638
MD
Enumeration date
04/07/2006
Last updated
01/16/2008
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