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Dr. Gordon James Green, MD
Pediatrics Physician in Charleston, West Virginia
NPI 1780711945

Gordon James Green is a Pediatrics Physician based in Charleston, WV. Gordon James Green practices in Charleston, WV and has the professional credentials of MD. The NPI Number for Gordon James Green is 1780711945 and holds a License No. 19355 (West Virginia).

The current practice location address for Gordon James Green is 800 Pennsylvania Ave, Charleston, WV and can be reached out via phone at 304-388-2525.

Location: 800 Pennsylvania Ave, Charleston, WV, 25301-3014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780711945
Provider Name
Gordon James Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 Pennsylvania Ave, Charleston, WV, 25301-3014
Phone Number
304-388-2525
Fax Number
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0111410000 05 WV
19355 01 WV MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
800 Pennsylvania Ave
City
Charleston
State
West Virginia
Zip
25302-3351
Phone Number
304-388-2525
Fax Number
person
Provider Business Mailing Address Details
Address
800 Pennsylvania Ave
City
Charleston
State
West Virginia
Zip
25302-3351
Phone Number
304-388-2525
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
19355 (West Virginia)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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