Individual provider · Type 1 NPI
Siteria Dionne Green
Specialist · Greenville, SC
NPI number
1972208643
Active
Practice location
12 Mayo Dr
Greenville, SC 29605-1315
Mailing address
15 Hicks Rd
Greenville, SC 29605-2711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 32340 (SC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1972208643
Siteria Dionne Green's National Provider Identifier is 1972208643, issued on Apr 3, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Greenville, SC. The record was last updated on Apr 3, 2023.