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

THELMA LYNETTE GREEN-MACK, MD

Active

THELMA LYNETTE GREEN-MACK, MD is a Pain Medicine (PM&R) healthcare provider located in INDIANAPOLIS, Indiana. NPI 1841358017 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (PM&R) · INDIANAPOLIS, IN

Registration Details

NPI Number
1841358017
Provider Type
Individual
Gender
Female
NPI Issued
Dec 4, 2006 (19.729505186409 yrs)
Last Updated
Mar 9, 2023
Licenses
01037601B (IN)
01037601 (IN)
01037601 (IN)

Practice Information

Address
3850 SHORE DRIVE
SUIOTE 305
INDIANAPOLIS, IN, 462545621
Browse IN providers · Browse ZIP 46254
Phone
3179203220
Fax
3179203221
Primary Specialty
Pain Medicine (PM&R)
2081P2900X
Additional Specialty
Pain Medicine (PM&R)

Other Pain Medicine (PM&R) Providers in INDIANAPOLIS, IN

Name Credential NPI
JOHN NEWELL LOMAS M.D. 1972500569
DR. JOSEPH WILLIAM BERGERON M.D. 1639211808
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.