NPI 1538136148
Diane Elaine Green, MD
Practice location
- Address
- 708 W Forest Ave, Jackson, TN 38301-3901
- Phone
- (731) 660-8759
- Mailing address
- 1804 Highway 45 Byp Suite 604, Jackson, TN 38305-4436
Registered specialties
Anatomic Pathology & Clinical Pathology Physician
Primary
Registry record
- NPI
- 1538136148
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Mar 2006
- Record last updated
- 17 Jul 2009
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.