Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES GARY GREEN, MD
ActiveCHARLES GARY GREEN, MD is a Body Imaging healthcare provider located in SUSANVILLE, California. NPI 1073698189 is currently active in the NPPES registry. Verify at CMS.
Body Imaging · SUSANVILLE, CA
Registration Details
- NPI Number
- 1073698189
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2006 (19.81937757235 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G46958 (CA)
Practice Information
- Address
-
60 HALL STREETSUSANVILLE, CA, 96130Browse CA providers · Browse ZIP 96130
- Phone
- 5302576010
- Fax
- 5302576038
- Primary Specialty
-
Body Imaging
2085B0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.