Individual
DR. GRANT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
310 PINERIDGE CIR, MADISON, AL 35758-1908
(256) 701-4131
Mailing address
310 PINERIDGE CIR, MADISON, AL 35758-1908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2661
AL
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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