Healthcare Provider Details

I. General information

NPI: 1043201536
Provider Name (Legal Business Name): HARRY DUNCAN GREENE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 E 4TH AVE
RED SPRINGS NC
28377-0352
US

IV. Provider business mailing address

PO BOX 352
RED SPRINGS NC
28377-0352
US

V. Phone/Fax

Practice location:
  • Phone: 910-843-4539
  • Fax:
Mailing address:
  • Phone: 910-843-4539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1632
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: