Individual
MR. STEVEN WILLIAM GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
185 N MAIN ST, RUTHERFORDTON, NC 28139-2501
(803) 603-9289
Mailing address
185 N MAIN ST, RUTHERFORDTON, NC 28139-2501
(803) 603-9289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14498
NC
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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