Green, Charlene Edwards
Green, Charlene Edwards is an individual health care provider with primary practice located at 3625 N Elm St Suite 110A, Greensboro NC 27455-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Green, Charlene Edwards can be contacted via phone (336) 282-4840.Contact Information
Primary practice address
3625 N Elm St Suite 110A
Greensboro NC 27455-2604
Phone: (336) 282-4840
Fax: (336) 282-4660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 9300690 | North Carolina |
Profile Details
| NPI number | 1255382339 |
|---|---|
| LBN Legal business name | Green, Charlene Edwards |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Dec 5th, 2018 - about 6 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 | 1255382339 | NPPES |
| North Carolina | MEDICAID | 8960433 | |
| North Carolina | MEDICAID | 5701007 | |
| North Carolina | Other | 60433 |
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