Provider Demographics
NPI:1851955082
Name:GREEN, EMILY MICHELE (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MICHELE
Last Name:GREEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:270 COPPERFIELD BLVD NE STE 202
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2441
Mailing Address - Country:US
Mailing Address - Phone:704-721-2060
Mailing Address - Fax:704-403-0470
Practice Address - Street 1:4949 PROFESSIONAL PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-8638
Practice Address - Country:US
Practice Address - Phone:704-938-6521
Practice Address - Fax:704-938-0463
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2022-06-27
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Provider Licenses
StateLicense IDTaxonomies
NC251230207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine