Green, Gachavis M

Green, Gachavis M is an individual health care provider with primary practice located at 34 Franklin Rd , Hattiesburg MS 39402-1318. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Green, Gachavis M can be contacted via phone (601) 268-0400.

Contact Information

Primary practice address
34 Franklin Rd Hattiesburg MS 39402-1318
Phone: (601) 268-0400
Fax: (601) 264-3150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901002375 Michigan
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 80220 Mississippi

Profile Details

NPI number 1376848077
LBN Legal business name Green, Gachavis M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2011
Last updated Feb 24th, 2015 - 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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