Individual
DR. DANIEL R GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UPSTATE CARDIOLOGY, 2 INNOVATION DRIVE, STE 400, GREENVILLE, SC 29607-5270
(864) 235-7665
(864) 233-5971
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01076895A
IN
207RI0011X
Interventional Cardiology Physician
Primary
51716
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517168
—
SC
Enumeration date
04/28/2009
Last updated
04/12/2026
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