Individual
BONNIE GRAHAM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
147 E MAIN ST, BREVARD, NC 28712-4617
(828) 884-7546
Mailing address
142 S RICE ST, BREVARD, NC 28712-3722
(828) 883-5550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201402140
NC
Other
Enumeration date
07/31/2006
Last updated
01/28/2022
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