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NPI Code Detail

MEDICARE: ASHLEY GREENE

MEDICARE:   ASHLEY  GREENE
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
11744P3200XProsthetics Case ManagementNC

General Provider Information

NPI Number : 1427783265
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY GREENE
Provider Business Mailing Address
First Line : 1817 LONGLEAF DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-7533
Country : US
Telephone Number : 704-605-2075
Fax Number :
Provider Business Practice Location Address
First Line : 1817 LONGLEAF DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-7533
Country : US
Telephone Number : 704-605-2075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2022
Last Update Date : 07/17/2022

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Directions to “ ASHLEY GREENE ” Practice Location

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