Individual provider · NPI-1
Torrance Tremayne Green, M.D.
Internal Medicine · Flowood, MS
NPI number1720373335
StatusActive
Last updated in NPPESJun 11, 2024
Details
- NPI
- 1720373335
- Entity type
- Individual (NPI-1)
- Name
- Torrance Tremayne Green
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2011
- Certification date
- Jun 11, 2024
- Last updated
- Jun 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 23305 | MS | Yes |
| 207R00000X | Internal Medicine | MD.206275 | LA | |
| 207RN0300X | Internal Medicine, Nephrology | 23305 | MS |
Practice location
2506 Lakeland Dr Ste 310Flowood, MS 39232-7640
Phone 601-832-8922
Mailing address
4617 Billy Fields RdEdwards, MS 39066-9151
Phone 601-832-8922
Other practice locations
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Baton Rouge, LA 70808-4375
Phone 225-765-4050
2520 5th St N
Columbus, MS 39705-2008
Columbus, MS 39705-2008
Phone 662-244-2042 · Fax 662-244-2041
215 Marion Ave
Mccomb, MS 39648-2705
Mccomb, MS 39648-2705
Phone 601-249-5500 · Fax 601-249-1714
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