Green, R Michael

Green, R Michael is an individual health care provider with primary practice located at 280 Fort Sanders West Blvd Suite 101, Knoxville TN 37922-3398. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Green, R Michael can be contacted via phone (865) 539-0270.

Contact Information

Primary practice address
280 Fort Sanders West Blvd Suite 101 Knoxville TN 37922-3398
Phone: (865) 539-0270
Fax: (865) 539-6998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28506 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28506 Tennessee

Profile Details

NPI number 1215983069
LBN Legal business name Green, R Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Apr 5th, 2023 - about last year

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 1215983069 NPPES
Tennessee MEDICAID 3817540

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