NPI 1467783506

Dennis Jason Green, IDC

Practitioner Independent Duty Corpsman North Charleston, SC

Practice location

Address: 1050 Remount Rd, North Charleston, SC 29406-3544
Phone: (843) 743-7000
Fax: (843) 574-8212
Mailing address: 1411 Cross Bill Trl, Hanahan, SC 29410-8231

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in South Carolina →

Registry record

NPI: 1467783506
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jan 2010
Record last updated: 28 Jan 2010

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.