Provider Demographics
NPI:1447491139
Name:GREENE, WILLIAM ALBERT CATES JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ALBERT CATES
Last Name:GREENE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2320 LIMESTONE PKWY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-2087
Mailing Address - Country:US
Mailing Address - Phone:770-531-1181
Mailing Address - Fax:770-531-0053
Practice Address - Street 1:2320 LIMESTONE PKWY
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-2087
Practice Address - Country:US
Practice Address - Phone:770-531-1181
Practice Address - Fax:770-531-0053
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAAG5691452261QA1903X
GA022231261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical