Individual
DR. JOE STEPHEN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 GLYNCO PKWY, SUITE 200, BRUNSWICK, GA 31525-7921
(912) 261-2355
(912) 265-5119
Mailing address
1111 GLYNCO PKWY, SUITE 200, BRUNSWICK, GA 31525-7921
(912) 261-2355
(912) 265-5119
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
01024876
IN
207QA0505X
Adult Medicine Physician
65405
GA
Other
Enumeration date
05/04/2006
Last updated
01/03/2011
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