NPI 1093111775
Becquelyn Green
Practice location
- Address
- 104 Elgin Pl, Clinton, MS 39056-3946
- Phone
- (601) 966-3238
Registered specialties (2)
Local Education Agency (LEA)
Primary
Specialist
Registry record
- NPI
- 1093111775
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Nov 2014
- Record last updated
- 7 Nov 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.