Dr. William Harris Green
Dermatology in Tallahassee, FL. Individual provider (NPI-1).
NPI number1023213634
StatusActive
Last updated in NPPESJun 13, 2013
Details
- NPI
- 1023213634
- Entity type
- Individual (NPI-1)
- Name
- Dr. William Harris Green
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2007
- Last updated
- Jun 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | ME108696 | FL | Yes |
Practice location
1707 Riggins RdTallahassee, FL 32308-5317
Phone 850-877-4134 · Fax 850-402-9130
Mailing address
Po Box 13859Tallahassee, FL 32317-3859
Phone 850-877-4134 · Fax 850-402-9130
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