CARNELL GREEN JR

TERRE HAUTE, IN
NPI1972315596
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-01-21
Last Update Date2025-01-21
Business Address
CARNELL GREEN JR
567 N 5TH ST
TERRE HAUTE, IN 47809-1903
Phone number: 812-237-3632
Mailing Address
CARNELL GREEN JR
805 GRANITE LN
CONWAY, AR 72034-3513
Phone number: 501-580-6676
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