MEDICARE: VANESSA STREICHER GREEN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	DO2464	TN
2	207Q00000X	Family Medicine Physician	2464	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01412339	OTHER	TN	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6039532	OTHER	TN	SRIPA
2	602699	OTHER	TN	BCBST
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023204278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA STREICHER GREEN DO

Provider Business Mailing Address
First Line	:	1402 WILLOW DR
Second Line	:
City	:	MANCHESTER
State	:	TN
Zip	:	37355-2438
Country	:	US
Telephone Number	:	931-450-1000
Fax Number	:	931-450-1004

Provider Business Practice Location Address
First Line	:	1402 WILLOW DR
Second Line	:
City	:	MANCHESTER
State	:	TN
Zip	:	37355-2438
Country	:	US
Telephone Number	:	931-450-1000
Fax Number	:	931-450-1004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2007
Last Update Date	:	01/16/2026

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Directions to “ VANESSA STREICHER GREEN DO” Practice Location

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