IndividualActive
Douglass Green, MD
NPI 1871590166 · Nephrology Physician · Bristol, TN
Provider details
- NPI number
- 1871590166
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 015559 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Medical Park Blvd
Suite 450w
Bristol, TN 37620-7430
Phone: (423) 968-3713
Fax: (423) 968-7352
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9
Kingsport, TN 37662-0009
Registry dates
- Enumerated
- 2005-07-01
- Last updated
- 2014-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.