Organization
MARK A GREEN DC - PREMIER CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A GREEN DC (CHIROPRACTOR/OWNER)
(270) 737-1638
Entity
Organization
Contact information
Practice address
790 N DIXIE HIGHWAY, STE 600, ELIZABETHTOWN, KY 42701-2488
(270) 737-1638
(270) 737-1715
Mailing address
790 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2488
(270) 737-1638
(270) 737-1715
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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