| Drs. Ellis Green And Green | |
|
8905 Two Notch Rd Columbia SC 29223-6367 | |
| (803) 788-9593 | |
| (803) 788-3123 |
| Full Name | Drs. Ellis Green And Green |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8905 Two Notch Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Victoria A Gunter (PRACTICE MANAGER) |
| Authorized Official Contact | 8037889593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Ellis Green And Green 8905 Two Notch Rd Columbia SC 29223-6367 Ph: (803) 788-9593 | Drs. Ellis Green And Green 8905 Two Notch Rd Columbia SC 29223-6367 Ph: (803) 788-9593 |
| NPI Number | 1942261110 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 01/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942261110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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