| Michael D Green, PA-C | |
|
410 West Main Street, Sophia, WV 25921 | |
| (304) 683-4304 | |
| Not Available |
| Full Name | Michael D Green |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 410 West Main Street, Sophia, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699898882 | NPI | - | NPPES |
| 1040471 | Other | WV | NCCPA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Green, PA-C 217 Wood St, Beckley, WV 25801-4856 Ph: (304) 252-2856 | Michael D Green, PA-C 410 West Main Street, Sophia, WV 25921 Ph: (304) 683-4304 |
Miss Trista L. Gibson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 821 Robert C. Byrd Dr., Sophia, WV 25921 Phone: 304-469-2905 | |
Crystal M. Cooper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 821 Robert C Byrd Dr., Sophia, WV 25921 Phone: 304-469-2905 Fax: 304-683-6903 |