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1952644460
DERRICK RICHARD GREEN
CHARLESTON, WV
NPI
1952644460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: WV 26706)
Enumeration Date
2013-04-03
Last Update Date
2018-09-21
Business Address
Dr. DERRICK RICHARD GREEN M.D.
3200 MACCORKLE AVE SE DEPT OF PATHOLOGY
CHARLESTON, WV 25304-1297
Phone number: 304-388-5550
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Mailing Address
Dr. DERRICK RICHARD GREEN M.D.
3200 MACCORKLE AVE SE DEPT OF PATHOLOGY
CHARLESTON, WV 25304-1297
Phone number: 304-388-5550
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