Search › West Virginia › 363A00000X
Michael Green, PA-C
NPI 1699898882 · on the registry since 2007
Practice
- Address
- 410 West Main Street
Sophia, WV 25921 - Phone
- (304) 683-4304
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 West Virginia