Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD GREEN, MD
Active Sole ProprietorEDWARD GREEN, MD is a Diagnostic Radiology healthcare provider located in JACKSON, Mississippi. NPI 1073719803 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · JACKSON, MS
Registration Details
- NPI Number
- 1073719803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2007 (19.119661121705 yrs)
- Last Updated
- Oct 6, 2022
- Licenses
-
135313 (NC)17833 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
969 LAKELAND DRJACKSON, MS, 392164606Browse MS providers · Browse ZIP 39216
- Phone
- 6012006162
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| DR. ERIC L RUSHING | M.D. | 1891792842 |
| DR. RALPH P WELLS | M.D. | 1265439228 |
| DR. KAREN J HOUSTON | M.D. | 1497753172 |
| DR. NORWOOD M SMITH | M.D. | 1275531881 |
| ANDREW T SMYTH | MD | 1982689816 |
| NEVILLE R. WICHMAN | M.D. | 1437121134 |
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.