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Dr. Robert L. Green, MD
Diagnostic Radiology Physician in Valdosta, Georgia
NPI 1558386706

Robert L. Green is a Diagnostic Radiology Physician based in Columbus, GA and is specialized in Diagnostic Radiology. Robert L. Green practices in Valdosta, GA and has the professional credentials of MD. The NPI Number for Robert L. Green is 1558386706 and holds a License No. 0101042362 (Georgia).

The current practice location address for Robert L. Green is 2501 N Patterson St, Valdosta, GA and can be reached out via phone at 229-433-1000 and via fax at 706-596-6723. You can also correspond with Robert L. Green through the mailing address at PO BOX 1524, COLUMBUS, GA - 31902-1524 (mailing address contact number: 800-841-4236).

Location: 2501 N Patterson St, Valdosta, GA, 31902-1524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558386706
Provider Name
Robert L. Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2501 N Patterson St, Valdosta, GA, 31902-1524
Phone Number
229-433-1000
Fax Number
706-596-6723
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003218661A 05 GA
7251505 05 VA
7206941 05 VA
institution
Provider Business Practice Location Address Details
Address
2501 N Patterson St
City
Valdosta
State
Georgia
Zip
31602-1735
Phone Number
229-433-1000
Fax Number
706-596-6723
person
Provider Business Mailing Address Details
Address
2501 N Patterson St
City
Valdosta
State
Georgia
Zip
31602-1735
Phone Number
229-433-1000
Fax Number
706-596-6723
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
82121 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
0101042362 (Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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