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Contact Information

CAROLYN GREEN
1214 COOLIDGE STREET
NEW IBERIA, LA70507
 Phone: 337-289-7172
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CAROLYN GREEN · (Female)

NPI # 1215036298
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 12485R
  • LA Medicaid 1534412
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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