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NPI Code Detail

MEDICARE: TIANA NATEA GREEN

MEDICARE: TIANA NATEA GREEN
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
11041C0700XClinical Social WorkerP020478NC

General Provider Information

NPI Number : 1861225252
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIANA NATEA GREEN
Provider Business Mailing Address
First Line : 4140 CHERRY ST
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27105-2536
Country : US
Telephone Number : 704-986-1500
Fax Number :
Provider Business Practice Location Address
First Line : 4140 CHERRY ST
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27105-2536
Country : US
Telephone Number : 704-986-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2024
Last Update Date : 12/09/2025

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Directions to “ TIANA NATEA GREEN ” Practice Location

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