Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK S GREEN, PA
ActivePhysician Assistant · LEXINGTON, SC
Registration Details
- NPI Number
- 1396736336
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2005 (20.485651335797 yrs)
- Last Updated
- Feb 10, 2025
- Licenses
-
560 (SC)002321 (GA)
Practice Information
- Address
-
1847 S LAKE DRLEXINGTON, SC, 290737759Browse SC providers · Browse ZIP 29073
- Phone
- 8033568998
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LEXINGTON, SC
| Name | Credential | NPI |
|---|---|---|
| TRACEY ANN EPP | PA | 1346277092 |
| RANDY BELL | — | 1851464200 |
| DAVID PEREZ | PA | 1952557449 |
| MATTHEW TIMOTHY POWER | PA | 1700130978 |
| SYLVIA GOODMAN IWENOFU | PA | 1578806014 |
| MS. BRITTANY KEELER CHESTNUT | PA-C | 1548606007 |
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.