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Dr. Johnny Richard Green JR., DO
Student in an Organized Health Care Education/Training Program in Oxford, Mississippi
NPI 1851979983

Johnny Richard Green JR. is a Student in an Organized Health Care Education/Training Program based in Memphis, MS. Johnny Richard Green JR. practices in Oxford, MS and has the professional credentials of DO. The NPI Number for Johnny Richard Green JR. is 1851979983 and holds a License No. T-4329 (Mississippi).

The current practice location address for Johnny Richard Green JR. is 81 Ed Perry Blvd Ste 107, Oxford, MS and can be reached out via phone at 662-636-5290.

Location: 81 Ed Perry Blvd Ste 107, Oxford, MS, 38120-9401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851979983
Provider Name
Johnny Richard Green JR.
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
81 Ed Perry Blvd Ste 107, Oxford, MS, 38120-9401
Phone Number
662-636-5290
Fax Number
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
81 Ed Perry Blvd Ste 107
City
Oxford
State
Mississippi
Zip
38655-3465
Phone Number
662-636-5290
Fax Number
person
Provider Business Mailing Address Details
Address
81 Ed Perry Blvd Ste 107
City
Oxford
State
Mississippi
Zip
38655-3465
Phone Number
662-636-5290
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
()
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
T-4329 (Tennessee)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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