Greene, James Walter
Greene, James Walter is an sole proprietor health care provider with primary practice located at 3215 Shrine Rd Ste 3 , Brunswick GA 31520-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Greene, James Walter can be contacted via phone (912) 434-9164.Contact Information
Primary practice address
3215 Shrine Rd Ste 3
Brunswick GA 31520-4300
Phone: (912) 434-9164
Fax: (912) 434-9386
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 029657 | Georgia |
Profile Details
NPI number | 1144315326 |
---|---|
LBN Legal business name | Greene, James Walter |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 4th, 2006 |
Last updated | Sep 22nd, 2022 - about 2 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 | 1144315326 | NPPES |
Georgia | Other | 202I085437 | MEDICARE PTAN |
Georgia | MEDICAID | 000382687B | MEDICARE PTAN |
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