Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COREY EDWARD GREENE, PAC
ActiveCOREY EDWARD GREENE, PAC is a Physician Assistant healthcare provider located in CHAPMANVILLE, West Virginia. NPI 1174828867 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHAPMANVILLE, WV
Registration Details
- NPI Number
- 1174828867
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2011 (15.548201335416 yrs)
- Last Updated
- Mar 16, 2022
- Licenses
-
01532 (WV)679 (WV)
Practice Information
- Address
-
40 SHAE AVE STE ACHAPMANVILLE, WV, 255089805Browse WV providers · Browse ZIP 25508
- Phone
- 3043102261
- Fax
- 3043102262
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
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.