Dr CHARLES RAY GREEN PA is a male medical professional, specializing in Physician Assistant. He graduated in 2002.
BOYNE COUNTRY URGENT CARE PC
1951 S OTSEGO AVE
UP NORTH MEDICAL CENTER
GAYLORD
MI
497358489
Tel: 9897323284
Npi | 1962574285 |
Pac Id | 4880672476 |
Professional Enrollment Id | I20040709001281 |
Last Name | GREEN |
First Name | CHARLES |
Middle Name | RAY |
Suffix | |
Gender | M |
Credential | PA |
Medical School Name | OTHER |
Graduation Year | 2002 |
Primary Specialty | PHYSICIAN ASSISTANT |
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Organization Legal Name | BOYNE COUNTRY URGENT CARE PC |
Group Practice Pac Id | 3173565850 |
Number Of Group Practice Members | 2 |
Line 1 Street Address | 1951 S OTSEGO AVE |
Line 2 Street Address | UP NORTH MEDICAL CENTER |
Marker Of Address Line 2 Suppression | |
City | GAYLORD |
State | MI |
Zip Code | 497358489 |
Phone Number | 9897323284 |
Hospital Affiliation Ccn 1 | 230133 |
Hospital Affiliation Lbn 1 | OTSEGO MEMORIAL HOSPITAL |
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Professional Accepts Medicare Assignment | Y |
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