Provider Demographics
NPI:1962769661
Name:GREEN, GILBERT JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:JAMES
Last Name:GREEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:700 ACKERMAN RD STE 570
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1579
Mailing Address - Country:US
Mailing Address - Phone:614-293-4969
Mailing Address - Fax:614-293-4724
Practice Address - Street 1:2050 KENNY RD FL 7
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3502
Practice Address - Country:US
Practice Address - Phone:614-293-4969
Practice Address - Fax:614-293-4688
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
OH340129322084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology