| Corey Green Green, | |
|
1069 Edgefield Rd # 112-113, North Augusta, SC 29860-9384 | |
| (803) 991-0689 | |
| Not Available |
| Full Name | Corey Green Green |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1069 Edgefield Rd # 112-113, North Augusta, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558959254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Greenville Proaxis Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Green Green, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Corey Green Green, 1069 Edgefield Rd # 112-113, North Augusta, SC 29860-9384 Ph: (803) 991-0689 |
Dr. Mary Elizabeth Smith, P.T., D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 Spring Oak Ln, North Augusta, SC 29841 Phone: 404-358-7348 | |
Mrs. Amy Krista Anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Austin Graybill Rd, North Augusta, SC 29860 Phone: 803-278-4272 | |
Divya S Karkada, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 W Martintown Rd Ste 101, North Augusta, SC 29841 Phone: 803-441-0025 | |
Tuan M Nguyen, P.T., OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 616 Edgefield Rd, Suite 150, North Augusta, SC 29841 Phone: 803-634-6983 Fax: 888-972-1745 | |
Mary Charlotte Leicht, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Walnut Ln Ste 106, North Augusta, SC 29860 Phone: 803-599-5990 Fax: 803-599-7239 | |
Seth Philip Giles, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 440 W Martintown Rd Ste 101, North Augusta, SC 29841 Phone: 803-441-0025 | |
Sunshine Therapy Associates, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Indian Rock Ct, North Augusta, SC 29841 Phone: 706-825-9338 |