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1871590166
DOUGLASS W GREEN
BRISTOL, TN
NPI
1871590166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: TN 015559)
Enumeration Date
2005-07-01
Last Update Date
2014-06-11
Business Address
Dr. DOUGLASS W GREEN MD
1 MEDICAL PARK BLVD SUITE 450W
BRISTOL, TN 37620-7430
Phone number: 423-968-3713
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Mailing Address
Dr. DOUGLASS W GREEN MD
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2066
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