Horace L Green in Pine Bluff - Adolescent Medicine
Horace L Green - NPI 1093779324
Horace L Green is a Adolescent Medicine in Pine Bluff, Arkansas. Horace L Green practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Horace L Green is 1093779324. The last update date is 2023-11-04.
Horace L Green's current location address is 1420 W 43rd Ave, Pine Bluff, Arkansas. You can contact this provider via phone number 8705346210 and fax number 8705348620. The mailing address for Horace L Green is 1420 W 43rd Ave, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Horace L Green |
|---|---|
| Address | 1420 W 43rd Ave, Pine Bluff, Arkansas |
| Phone Number | 8705346210 |
| Fax Number | 8705348620 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093779324 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2023-11-04 |
Provider Mailing Address Detail
| Address | 1420 W 43rd Ave |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716037010 |
| Phone Number | 8705346210 |
| Fax Number | 8705348620 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | C4284 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Horace L Green by the Centers for Medicare & Medicaid Services?
The Horace L Green has been issued the NPI (National Provider Identifier) 1093779324, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Horace L Green's physical address?
The Horace L Green is physically located at 1420 W 43Rd Ave, in the city of Pine Bluff, AR, with the postal code 716037010.
What is Horace L Green's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Horace L Green is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093779324 to Horace L Green?
The Horace L Green received its 1093779324 assignment from the Centers for Medicare & Medicaid Services on 2006-04-13.
As of what date was the information pertaining to Horace L Green, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Horace L Green, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-11-04.