Individual
DR. JONATHAN F GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
720 FOOTHILLS MALL DR, MARYVILLE, TN 37801-3519
(865) 342-8100
(865) 342-8110
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1700
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3319672
—
TN
05
—
Q005496
—
TN
Enumeration date
06/16/2006
Last updated
10/27/2025
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