Green, Jessica G
Green, Jessica G is an individual health care provider with primary practice located at 164 Waccamaw Medical Park , Conway SC 29526-8903. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Green, Jessica G can be contacted via phone (843) 347-5060.Contact Information
Primary practice address
164 Waccamaw Medical Park
Conway SC 29526-8903
Phone: (843) 347-5060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1518153428 |
|---|---|
| LBN Legal business name | Green, Jessica G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2007 |
| Last updated | May 4th, 2021 - about 3 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.
Popular Providers
-
Onley-Livingston, Angel
900B Main St Suite 206, Conway SC 29526-4063 -
Jones, Denise
164 Waccamaw Medical Park Dr , Conway SC 29526-8903 -
Henry, Melissa Ann
164 Waccamaw Medical Park Dr , Conway SC 29526-8903 -
Hartman, Emily
164 Waccamaw Medical Park Dr , Conway SC 29526-8903 -
Dekine, Joseph E
164 Waccamaw Medical Park Dr , Conway SC 29526-8903 -
Myers, Shavonne R
1400 Church St Ste 300A , Conway SC 29526-4159 -
Smith, Ashley Morgan
164 Waccamaw Medical Park Dr , Conway SC 29526-8903 -
Johnson, Michael Lynne
164 Waccamaw Medical Park Dr , Conway SC 29526-8903