| Diane Elaine Green, MD | |
|
708 W Forest Ave, Jackson, TN 38301-3901 | |
| (731) 660-8759 | |
| Not Available |
| Full Name | Diane Elaine Green |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 708 W Forest Ave, Jackson, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538136148 | NPI | - | NPPES |
| 3188084 | Medicaid | TN | |
| 3188088 | Medicaid | TN | |
| 220016966 | Other | RR MEDICARE | |
| 3067959 | Other | BCBS | |
| 3188085 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 13431 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Elaine Green, MD 1804 Highway 45 Byp, Suite 604, Jackson, TN 38305-4436 Ph: (731) 660-8759 | Diane Elaine Green, MD 708 W Forest Ave, Jackson, TN 38301-3901 Ph: (731) 660-8759 |
Ashley Brooke Oldham Porter, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-6026 Fax: 731-541-7958 | |
Richard A Oberg, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 | |
Joseph Curtis Coleman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 | |
Charles Stephen Foster, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 | |
Mark Preston Burton, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 | |
Felix Earl Williamson Iii, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 |