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1831138916
MARK E GREEN
CLARKSVILLE, TN
NPI
1831138916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TN 17438)
Enumeration Date
2006-06-05
Last Update Date
2007-07-08
Business Address
-- MARK E GREEN MD
1771 MADISON ST
CLARKSVILLE, TN 37043-4990
Phone number: 931-552-6622
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Mailing Address
-- MARK E GREEN MD
1000 RIVER RD SUITE 100
CONSHOHOCKEN, PA 19428-2439
Phone number: 800-355-3818
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