SearchGeorgia207Q00000X

Clyde Green, MD

NPI 1417178187 · on the registry since 2007 · sole proprietor

Practice

Address
841 Mulberry St
Macon, GA 31201
Phone
(478) 741-6554
Fax
(478) 743-7052
Organisation at this address
Infinity Laboratory
Omni Health Solutions Llc
Family Foot And Ankle Center
S.Dekalb Foot & Ankle Surgical Ctr
S.E. Family Foot & Ankle Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207QH0002X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia