IndividualActive
Corey Greene, PAC
NPI 1174828867 · Physician Assistant · Chapmanville, WV
Provider details
- NPI number
- 1174828867
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- 01532 (WV)
Practice location
40 Shae Ave Ste a
Chapmanville, WV 25508-9805
Phone: (304) 310-2261
Fax: (304) 310-2262
Mailing address
40 Shae Ave Ste a
Chapmanville, WV 25508-9805
Registry dates
- Enumerated
- 2011-01-11
- Last updated
- 2022-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.