National Provider Identifier Database

GREENLINE MEDICAL CORPORATION
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

GREENLINE MEDICAL CORPORATION
804 BOMBAY LN
ROSWELL, GA30076-5819
Phone: 770-754-9880
Fax: 770-754-9881
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Pain Medicine 208VP0000X

* Indicates primary specialty

NPI Profile & details for GREENLINE MEDICAL CORPORATION

NPI Number 1073810453
Legal business name
LBN
GREENLINE MEDICAL CORPORATION
Authorized official KIMBERLY GREEN - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 02/19/2011
Last updated 02/19/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 058478

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for GREENLINE MEDICAL CORPORATION

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