DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DWAYNE GREEN, PS-A

Active

MR. DWAYNE GREEN, PS-A is a Peer Specialist healthcare provider located in CANTON, Ohio. NPI 1114697679 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · CANTON, OH

Registration Details

NPI Number
1114697679
Provider Type
Individual
Gender
Male
NPI Issued
Sep 16, 2021 (4.8820130124546 yrs)
Last Updated
Sep 16, 2021

Practice Information

Address
STARK COUNTY TASC, INC.
624 MARKET AVE NORTH
CANTON, OH, 447021017
Browse OH providers · Browse ZIP 44702
Phone
3304791912
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in CANTON, OH

Name Credential NPI
BRANDON JEFFERS PSS 1326540246
NICOLE OSBORNE 1609378322
GRAYDEN BOYD PROVANCE 1730682410
TYLER GREEN 1831692326
DEBRA ANN CASEY 1003301482
CHARLEY CATHLEEN EAKLE 1558856930
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.