Thelma Lynette Green-Mack in Indianapolis - Addiction Medicine
Thelma Lynette Green-Mack - NPI 1841358017
Thelma Lynette Green-Mack is a Addiction Medicine in Indianapolis, Indiana. Thelma Lynette Green-Mack practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Thelma Lynette Green-Mack is 1841358017. The last update date is 2023-03-09.
Thelma Lynette Green-Mack's current location address is 3850 Shore Drive, Indianapolis, Indiana. You can contact this provider via phone number 3179203220 and fax number 3179203221. The mailing address for Thelma Lynette Green-Mack is 3850 Shore Drive, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Thelma Lynette Green-Mack |
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Address | 3850 Shore Drive, Indianapolis, Indiana |
Phone Number | 3179203220 |
Fax Number | 3179203221 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1841358017 |
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Provider Enumeration Date | 2006-12-04 |
Last Updated Date | 2023-03-09 |
Provider Mailing Address Detail
Address | 3850 Shore Drive |
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City | Indianapolis |
State | Indiana (IN) |
Post Code | 462545621 |
Phone Number | 3179203220 |
Fax Number | 3179203221 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 207Ra0401X |
Licence No | 1037601 |
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
100130200 | IN | -- | |
250010985 | IN | RAILROAD MEDICARE | |
92241 | IN | ANTHEM BCBS | |
1841358017 | IN | NPI |
Post Comment/ Review Below
What is the unique identifier code issued to Thelma Lynette Green-Mack by the Centers for Medicare & Medicaid Services (CMS)?
The Thelma Lynette Green-Mack has been assigned the NPI (National Provider Identifier) 1841358017. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Thelma Lynette Green-Mack located?
The Thelma Lynette Green-Mack is located at 3850 Shore Drive, Indianapolis, IN 462545621.
What is Thelma Lynette Green-Mack's area of expertise and its corresponding taxonomy classification?
The Thelma Lynette Green-Mack's field of specialization is Addiction Medicine, and it falls under the taxonomy code 207Ra0401X, which categorizes healthcare providers based on their areas of practice.
On what date did the Thelma Lynette Green-Mack receive its 1841358017 assignment from the Centers for Medicare & Medicaid Services?
The Thelma Lynette Green-Mack was assigned its 1841358017 by the Centers for Medicare & Medicaid Services on 2006-12-04.
As of what date was the information pertaining to Thelma Lynette Green-Mack, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Thelma Lynette Green-Mack, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-09.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC