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
Fax: (912) 434-9386
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144315326 NPPES
Georgia Other 202I085437 MEDICARE PTAN
Georgia MEDICAID 000382687B MEDICARE PTAN

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