JONATHAN GREGORY GREEN

SPARTANBURG, SC
NPI1164153227
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  25841)
Enumeration Date2022-06-20
Last Update Date2023-06-22
Business Address
JONATHAN GREGORY GREEN FNP
1701 SKYLYN DR
SPARTANBURG, SC 29307-1096
Phone number: 864-393-3909
Mailing Address
JONATHAN GREGORY GREEN FNP
110 AUDREY DR
SPARTANBURG, SC 29307-1500
Phone number: 864-279-3630