Bryan S Green is a Physician Assistant in Athens, Georgia. Bryan S Green practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bryan S Green is 1750311221. The last update date is 2023-05-24.
Bryan S Green's current location address is 1765 Old West Broad St Bldg 2-200, Athens, Georgia. You can contact this provider via phone number 7065491663 and fax number 7065468792. The mailing address for Bryan S Green is 1765 Old West Broad St Bldg 2-200, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan S Green |
|---|---|
| Address | 1765 Old West Broad St Bldg 2-200, Athens, Georgia |
| Phone Number | 7065491663 |
| Fax Number | 7065468792 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1750311221 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2023-05-24 |
Provider Mailing Address Detail
| Address | 1765 Old West Broad St Bldg 2-200 |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306062887 |
| Phone Number | 7065491663 |
| Fax Number | 7065468792 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4808 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12019156 | CAQH NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bryan S Green by the Centers for Medicare & Medicaid Services?
The Bryan S Green has been issued the NPI (National Provider Identifier) 1750311221, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bryan S Green?
The Bryan S Green is situated at 1765 Old West Broad St Bldg 2-200, in the city of Athens, state of GA, with the zip code 306062887.
What is Bryan S Green's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bryan S Green's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750311221 to Bryan S Green?
The Bryan S Green received its 1750311221 assignment from the Centers for Medicare & Medicaid Services on 2006-07-03.
When was the Bryan S Green's information last updated?
The Bryan S Green's information was last updated on 2023-05-24.