Provider Demographics
NPI:1710931100
Name:GREENE, RALPH EMERSON III (CRNA)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:EMERSON
Last Name:GREENE
Suffix:III
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:587 BAIRD COVE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-1999
Mailing Address - Country:US
Mailing Address - Phone:828-369-8422
Mailing Address - Fax:
Practice Address - Street 1:362 S BARRINGTON DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-8668
Practice Address - Country:US
Practice Address - Phone:843-679-3781
Practice Address - Fax:843-669-1995
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCAPRN351367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered