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1295796951
GORDON MARTIN GREEN
MARTINSVILLE, VA
NPI
1295796951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101052580)
Enumeration Date
2006-03-31
Last Update Date
2008-08-21
Business Address
Dr. GORDON MARTIN GREEN M.D.
295 COMMONWEALTH BLVD W
MARTINSVILLE, VA 24112-1820
Phone number: 276-638-2311
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Mailing Address
Dr. GORDON MARTIN GREEN M.D.
1020 CORN TASSEL TRL
MARTINSVILLE, VA 24112-5606
Phone number: 276-666-4474
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