Individual
DONNA O'NEAL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
55185
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
17740
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2189
—
SC
05
—
GP2825
—
SC
Enumeration date
01/19/2012
Last updated
02/04/2022
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