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DR. WILLIAM EDWIN GREEN M.D. NPI 1922068659


NPI Information

NPI: 1922068659
Provider Name: DR. WILLIAM EDWIN GREEN, M.D.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

Address:
15 MEDICAL PARK RD
SUITE 103
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-4300
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DR. William Edwin Green, M.D. is a psychiatry psychiatry neurology in Columbia, SC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. William Edwin Green, M.D. NPI is 1922068659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 MEDICAL PARK RD
SUITE 103
COLUMBIA, SC
ZIP 29203-003
Phone: (803) 434-4300
Fax: (803) 434-4351

The enumeration date for this NPI number is 3/25/2006 and was last updated on 12/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0802XPsychiatry & NeurologyAddiction Psychiatry17477SOUTH CAROLINANo
22084P0800XPsychiatry & NeurologyPsychiatry17477SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F56762MEDICARE UPIN
2F567624411MEDICARE ID-TYPE UNSPECIFIED
3174778MEDICAIDSOUTH CAROLINA
4F567624411MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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