Individual
DR. MICHAEL E GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5354 REYNOLDS ST STE 424, SAVANNAH, GA 31405-6011
(912) 819-5999
(912) 819-5980
Mailing address
5354 REYNOLDS ST STE 424, SAVANNAH, GA 31405-6011
(912) 819-5999
(912) 819-5980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
034840
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000473943I
—
GA
01
—
08BBRSQ
UNKNOWN
GA
01
—
GRP7284
PTAN
GA
Enumeration date
07/06/2006
Last updated
08/26/2019
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