Individual provider · Type 1 NPI
Gachavis M. Green, D.P.M.
Foot & Ankle Surgery Podiatrist · Hattiesburg, MS
NPI number
1376848077
Active
Practice location
34 Franklin Rd
Hattiesburg, MS 39402-1318
Fax (601) 264-3150
Mailing address
PO Box 16235
Hattiesburg, MS 39404-6235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 5901002375 (MI) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 80220 (MS) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
About NPI 1376848077
Gachavis M. Green, D.P.M.'s National Provider Identifier is 1376848077, issued on Jan 11, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Hattiesburg, MS. The record was last updated on Feb 24, 2015.