Dr Jodi K Green, DC | |
2418 Danville Rd Sw Ste C, Decatur, AL 35603-4278 | |
(256) 822-2007 | |
Not Available |
Full Name | Dr Jodi K Green |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 2418 Danville Rd Sw Ste C, Decatur, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164078440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2592 (Alabama) | Primary |
Provider Name | Green Squared |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679116230 PECOS PAC ID: 0244628436 Enrollment ID: O20211020001330 |
Mailing Address | Practice Location Address |
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Dr Jodi K Green, DC 2418 Danville Rd Sw Ste C, Decatur, AL 35603-4278 Ph: (256) 822-2007 | Dr Jodi K Green, DC 2418 Danville Rd Sw Ste C, Decatur, AL 35603-4278 Ph: (256) 822-2007 |
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