Individual provider · Type 1 NPI

Mark Robert Green, MD

Diagnostic Radiology Physician · Marietta, GA

NPI number 1376771675 Active

Practice location

790 Church St NE, Ste 400
Marietta, GA 30060-7282

Mailing address

PO Box 3157
Indianapolis, IN 46206-3157

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X066042 (GA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1376771675

Mark Robert Green, MD's National Provider Identifier is 1376771675, issued on Jun 24, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Marietta, GA. The record was last updated on Jul 6, 2022.