Individual
MICHAEL KEITH GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST STE 401, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28811
SC
208000000X
Pediatrics Physician
TL28811
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20056179
FIRST CHOICE
SC
05
—
288110
—
SC
01
—
576008010-013
BCBS
SC
01
—
7013843
CIGNA
SC
01
—
7245906
AETNA
SC
Enumeration date
07/11/2006
Last updated
01/12/2021
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