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1164153227
JONATHAN GREGORY GREEN
SPARTANBURG, SC
NPI
1164153227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 25841)
Enumeration Date
2022-06-20
Last Update Date
2023-06-22
Business Address
JONATHAN GREGORY GREEN FNP
1701 SKYLYN DR
SPARTANBURG, SC 29307-1096
Phone number: 864-393-3909
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Mailing Address
JONATHAN GREGORY GREEN FNP
110 AUDREY DR
SPARTANBURG, SC 29307-1500
Phone number: 864-279-3630
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