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General NPI Number Information
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NPI Number | 1104231505
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Entity Type | Individual
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Provider Name | RYAN ASHLEY GREENE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 391 SERPENTINE DR STE 400
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City | SPARTANBURG
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State | SC
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Zip | 29303-3081
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Country | US
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Telephone | 864-560-7517
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Fax | 864-560-7520
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Provider Business Mailing Address
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Address Line | PO BOX 743070
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City | ATLANTA
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State | GA
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Zip | 30374-3070
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Country | US
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Telephone | 864-560-4304
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Fax | 864-560-4413
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD218321
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD61496911
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 114426
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 71037
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 14924
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License Number State | ND
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 94302
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License Number State | SC
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