Green, Akida Jamal
Green, Akida Jamal is an sole proprietor health care provider with primary practice located at 298 Memorial Dr , Seneca SC 29672-9443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Green, Akida Jamal can be contacted via phone (864) 885-7758.Contact Information
Primary practice address
298 Memorial Dr
Seneca SC 29672-9443
Phone: (864) 885-7758
Fax: (864) 885-7749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TL37290 | South Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 37290 | South Carolina |
Profile Details
| NPI number | 1760502413 |
|---|---|
| LBN Legal business name | Green, Akida Jamal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Oct 4th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760502413 | NPPES |
| South Carolina | Other | P01538677 | RR MEDICARE |
| South Carolina | MEDICAID | 372901 | RR MEDICARE |
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