| NPI | 1518439918 |
|---|---|
| Doing Business As | GREEN PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | TYLER GREEN Principal 256-651-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2018-12-23 |
| Last Update Date | 2020-01-19 |