CHARLES RAY GREEN PA

BOYNE COUNTRY URGENT CARE PC

Dr CHARLES RAY GREEN PA is a male medical professional, specializing in Physician Assistant. He graduated in 2002.

Contact

BOYNE COUNTRY URGENT CARE PC

1951 S OTSEGO AVE
UP NORTH MEDICAL CENTER
GAYLORD
MI
497358489

Tel: 9897323284

CHARLES RAY GREEN PA Information

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
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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