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Angel Miguel Green, DO
Student in an Organized Health Care Education/Training Program in Johnson City, Tennessee
NPI 1972354892

Angel Miguel Green is a Student in an Organized Health Care Education/Training Program based in Johnson City, TN. Angel Miguel Green practices in Johnson City, TN and has the professional credentials of DO. The NPI Number for Angel Miguel Green is 1972354892 and holds a License No. (Tennessee).

The current practice location address for Angel Miguel Green is 325 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-439-7280.

Location: 325 N State Of Franklin Rd, Johnson City, TN, 37604-6056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972354892
Provider Name
Angel Miguel Green
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
325 N State Of Franklin Rd, Johnson City, TN, 37604-6056
Phone Number
423-439-7280
Fax Number
Provider Enumeration Date
03/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
325 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6056
Phone Number
423-439-7280
Fax Number
person
Provider Business Mailing Address Details
Address
325 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6056
Phone Number
423-439-7280
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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