Individual
JULIE R GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-9000
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(645) 228-6038
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22802
SC
367500000X
Certified Registered Nurse Anesthetist
531034
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN3119
—
SC
Enumeration date
06/20/2012
Last updated
01/28/2022
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