Green, James R

Green, James R is an individual health care provider with primary practice located at 2024 15Th St Ste 4N, Meridian MS 39301-4130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Green, James R can be contacted via phone (601) 693-6663.

Contact Information

Primary practice address
2024 15Th St Ste 4N Meridian MS 39301-4130
Phone: (601) 693-6663
Fax: (601) 693-6665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 05615 Mississippi

Profile Details

NPI number 1134122484
LBN Legal business name Green, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Dec 17th, 2012 - about 13 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 1134122484 NPPES
Mississippi MEDICAID 00014061

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