Individual
KAREN E GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
791 JONESTOWN RD, WINSTON SALEM, NC 27103-1252
(336) 716-4551
(336) 716-7080
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200500511
NC
Other
Enumeration date
01/24/2006
Last updated
04/10/2017
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