Dr. Clyde O. Green
Family Doctor Family Doctor - Hospice and Palliative Medicine
841 Mulberry St
Macon
, Georgia 31201-6756
Dr. Clyde O. Green
Family Doctor Family Doctor - Hospice and Palliative Medicine
841 Mulberry St
Macon
, Georgia 31201-6756
(478) 743-7052
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Clyde O. Green
- 841 Mulberry St
- Macon, GA
- Zip : 31201-6756
- Fax : (478) 743-7052
- Phone : (478) 741-6554
Second Address
- Dr. Clyde O. Green
- 841 Mulberry St
- Macon, GA
- Zip : 31201-6756
- Fax : (478) 743-7052
- Phone : (478) 741-6554
Reviews
FAQs
Where did Dr. Clyde O. Green attend graduate school?
Where did Dr. Clyde O. Green do his residency?
Where did Dr. Clyde O. Green do his fellowship?
Is Dr. Clyde O. Green board certified?
What type of doctor is Dr. Clyde O. Green
In what state does Dr. Clyde O. Green practice in?
Where is Dr. Clyde O. Green ’s practice located?
What is Dr. Clyde O. Green ’s gender?
Is Dr. Clyde O. Green a sole practitioner?
Is Dr. Clyde O. Green accepting new patients?
What languages does Dr. Clyde O. Green speak?
Does Dr. Clyde O. Green accept insurance?
Does Dr. Clyde O. Green offers telemedicine?
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What is Dr. Clyde O. Green ’s NPI number?
Does Dr. Clyde O. Green have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 30072 | GA |
| N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 30072 | GA |
National Provider Identifier
| NPI | 1417178187 |
|---|---|
| Provider Name | Dr. Clyde O. Green |
| First Address | Macon, GA 31201-6756 |
| Second Address | Macon, GA 31201-6756 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2007 |
| Last Update Date | 21/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00358432 D, E, F, J | (05) | GA |
| 105116 | PEACH STATE (01) | GA |
| 1451889 | UNITED HEALTH CARE (01) | GA |
| 157763300 | WORKER COMP (01) | GA |
| 157763301 | WORKERS COMP (01) | GA |
| 157763302 | WORKERS COMP (01) | GA |
| 324341 | WELLCARE (01) | GA |
| 508457 | BLUE CROSS BLUE SHIELD (01) | GA |
| D45482 | (02) | GA |
| D45482GRE00 | SECURE CHOICE HEALTH (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.