Green, Carolyn

Green, Carolyn is an individual health care provider with primary practice located at 101 Bethesda Dr , Greenville NC 27834-7201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Green, Carolyn can be contacted via phone (252) 758-4181.

Contact Information

Primary practice address
101 Bethesda Dr Greenville NC 27834-7201
Phone: (252) 758-4181
Fax: (252) 758-2603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 11550 North Carolina

Profile Details

NPI number 1104874296
LBN Legal business name Green, Carolyn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 13th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104874296 NPPES
North Carolina MEDICAID 7002041

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