A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management |
| NPI # | 1073810453 |
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| LBN Legal business name | GREENLINE MEDICAL CORPORATION | ||||
| Authorized official | KIMBERLY GREEN - (PHYSICIAN) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/19/2011 | ||||
| Last updated | 02/19/2011 - About 15 years ago | ||||
| Identifiers |
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