| Green Transitions Mht Llc | |
|
317 Ruth Vista Rd Lexington SC 29073-8628 | |
| (972) 616-4932 | |
| (877) 489-3949 |
| Full Name | Green Transitions Mht Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 317 Ruth Vista Rd, Lexington, South Carolina |
| Authorized Official Name and Position | Donnielle Green (OWNER / PRESIDENT) |
| Authorized Official Contact | 9726164932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Transitions Mht Llc 317 Ruth Vista Rd Lexington SC 29073-8628 Ph: (972) 616-4932 | Green Transitions Mht Llc 317 Ruth Vista Rd Lexington SC 29073-8628 Ph: (972) 616-4932 |
| NPI Number | 1144609215 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144609215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 894 (South Carolina) | Primary |
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