Greene, Marcella June

Greene, Marcella June is an individual health care provider with primary practice located at 7557A Dannaher Dr, Suite 110 , Powell TN 37849. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Greene, Marcella June can be contacted via phone (865) 938-8121.

Contact Information

Primary practice address
7557A Dannaher Dr, Suite 110 Powell TN 37849
Fax: (865) 212-5561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X TN MD47192 Tennessee

Profile Details

NPI number 1982883468
LBN Legal business name Greene, Marcella June
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2007
Last updated Oct 15th, 2013 - about 11 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 1982883468 NPPES
Tennessee MEDICAID 1525259

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