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Contact Information

MICHAEL E GREEN, MD
854 LONE OAK DRIVE
GALLATIN, TN37066
 Phone: 615-452-1602
 Fax: 615-451-0139
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MICHAEL E GREEN · (Male)

NPI # 1053414581
Status Active
Credentials MD
Entity Individual
Enumeration date 09/07/2006
Last updated 03/23/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # C7923
  • TN License # MD0000025545
  • TN Medicaid 3083540
  • TN Medicaid 3373178
  • Other 4480107 AETNA
  • Other 905714 BLOCK VISION
  • Other 621571208003 CIGNA
  • Other 2680132003 CIGNA COMMERCIAL
  • Other 2680132004 CIGNA FLEX
  • Other 877710 CLARITY VISION
  • Other TN5545 EYEMED
  • Other 282865 ONE HEALTH
  • Other NASH86608 PHCS
  • Other 0191345 TENNCARE SELECT
  • Other 0840119 UNITED HEALTHCARE
  • TN Other 0191345 BLUE CROSS BLUE SHIELD
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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