NPI
Edward Green
NPI 1073719803
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2007-06-27
- Last updated
- 2022-10-06
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Specialties
Licenses
- License NC
- 135313
- License MS
- 17833
Location
- Practice location
- 969 Lakeland Dr
- City
- Jackson MS
- Postal code
- 39216-4606
- Phone
- (601) 200-6162
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Radiologists in Jackson, MS. 98 with this primary taxonomy in the public file.
Other NPIs in Jackson, MS. 8,701 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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