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Organization

GREENHURST PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDMON L GREEN MD (CHAIRMAN)
(423) 317-9202
Entity
Organization

Contact information

Practice address
1410 DOYAL DR, MORRISTOWN, TN 37814-6108
(423) 317-9202
(423) 317-9206
Mailing address
PO BOX 14189, MORRISTOWN, TN 37814-0002
(423) 317-9202
(423) 317-9206

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3729559
TN
Enumeration date
12/19/2006
Last updated
08/22/2020
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