Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GACHAVIS M GREEN, D.P.M.
ActiveDR. GACHAVIS M GREEN, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in HATTIESBURG, Mississippi. NPI 1376848077 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · HATTIESBURG, MS
Registration Details
- NPI Number
- 1376848077
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2011 (15.399856284738 yrs)
- Last Updated
- Feb 24, 2015
- Licenses
-
5901002375 (MI)80220 (MS)
Practice Information
- Address
-
34 FRANKLIN RDHATTIESBURG, MS, 394021318Browse MS providers · Browse ZIP 39402
- Phone
- 6012680400
- Fax
- 6012643150
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
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.