MEDICARE: DAVID GREENE DC

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	111N00000X	Chiropractor	2787	AL

General Provider Information

NPI Number	:	1447948104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID GREENE DC

Provider Business Mailing Address
First Line	:	2411 6TH AVE SE STE A-1
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-6515
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2411 6TH AVE SE STE A-1
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-6515
Country	:	US
Telephone Number	:	256-733-3159
Fax Number	:

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

Provider Enumeration Date	:	04/28/2023
Last Update Date	:	06/05/2026

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Directions to “ DAVID GREENE DC” Practice Location

Language	Start Address	Practice Location

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