Individual
CAROLYN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-7000
Mailing address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APN.28298.RX
SC
Other
Enumeration date
01/25/2024
Last updated
09/05/2024
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