Individual provider · Type 1 NPI
James Ellis Green, MD
General Practice Physician · Gainesville, GA
NPI number
1871709840
Active
Practice location
526 Pearl Nix Parkway, Suite #103
Gainesville, GA 30501
Fax (770) 535-8050
Mailing address
PO Box 7970
Gainesville, GA 30504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | G027200 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1871709840
James Ellis Green, MD's National Provider Identifier is 1871709840, issued on May 15, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gainesville, GA. The record was last updated on Jul 8, 2007.