Provider Demographics
NPI:1043201536
Name:GREENE, HARRY DUNCAN (DC)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:DUNCAN
Last Name:GREENE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:RED SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28377-0352
Mailing Address - Country:US
Mailing Address - Phone:910-843-4539
Mailing Address - Fax:
Practice Address - Street 1:712 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:RED SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28377-0352
Practice Address - Country:US
Practice Address - Phone:910-843-4539
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T82540Medicare UPIN
244611Medicare ID - Type Unspecified