Male or Other

Edward R. Green MD

Psychiatry Physician in Huntsville, AL(View on Map)

Full Name

Edward Rodman Green MD

NPI Number

1578514469

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/15/2006

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

8219

Contact
Information

Purpose

Mailing
Location

Address

106 CENTRAL AVENUE
106 CENTRAL AVENUE

City

Huntsville
Huntsville

State

AL
AL

Postal Code

35801-3814
35801-3814

Country

US
US

Telephone Number

(256) 533-6080
(256) 533-6080

Identifiers

Identifier

02445

Identifier State

AL

Identifier Issuer

BLUE CROSS BLUE SHIELD

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

Data last updated by provider on 07/08/2007

Provider Address

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