Male or Other

Torrance T. Green M.D.

Internal Medicine Physician in Flowood, MS(View on Map)

Full Name

Torrance Tremayne Green M.D.

NPI Number

1720373335

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/10/2011

Specialties

(Taxonomies)

Code

207R00000X
207RN0300X

Primary Taxonomy

Yes
No

Licenses

State

Louisiana
Mississippi

License Number

MD.206275
23305

Contact
Information

Purpose

Mailing
Location

Address

4617 BILLY FIELDS RD
2506 LAKELAND DR STE 310

City

Edwards
Flowood

State

MS
MS

Postal Code

39066-9151
39232-7640

Country

US
US

Telephone Number

(601) 832-8922
(601) 832-8922

Identifiers

Identifier

INTERN

Identifier State

LA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/11/2024

Provider Address

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