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Individual

ALVIN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5800 MCHINES PL, SUITE 120, RALEIGH, NC 27616-1953
(919) 981-0790
(919) 981-0135
Mailing address
5800 MCHINES PL, SUITE 120, RALEIGH, NC 27616-1953
(919) 981-0790
(919) 981-0135

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
210114
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043225907
NC
Enumeration date
11/14/2016
Last updated
11/14/2016
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