Individual
THOMAS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 S 8TH ST, MURRAY, KY 42071-2404
(270) 753-9300
(270) 753-3549
Mailing address
305 S 8TH ST, MURRAY, KY 42071-2404
(270) 753-9300
(270) 753-3549
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17975
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000308977
ANTHEM
KY
05
—
65940330
—
KY
Enumeration date
06/15/2005
Last updated
03/19/2012
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