person
Mr. Dallas Alexander Greene
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1962197707

Dallas Alexander Greene is a Student in an Organized Health Care Education/Training Program based in Leesburg, MS. Dallas Alexander Greene practices in Jackson, MS. The NPI Number for Dallas Alexander Greene is 1962197707 and holds a License No. (Mississippi).

The current practice location address for Dallas Alexander Greene is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-5101.

Location: 2500 N State St, Jackson, MS, 31763-4415
person
Provider Profile Details
NPI Number
1962197707
Provider Name
Dallas Alexander Greene
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 31763-4415
Phone Number
601-984-5101
Fax Number
Provider Enumeration Date
04/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5101
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5101
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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