Organization
ROBERT W GREENE JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY B GREENE (ADMINISTRATOR)
(901) 761-5885
Entity
Organization
Contact information
Practice address
6005 PARK AVE, SUITE 112, MEMPHIS, TN 38119-5202
(901) 761-5885
(901) 761-5398
Mailing address
6005 PARK AVE, SUITE 112, MEMPHIS, TN 38119-5202
(901) 761-5885
(901) 761-5398
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
19597
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047082
—
TN
Enumeration date
09/12/2014
Last updated
09/12/2014
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