Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GREENLINE MEDICAL CORPORATION
Active
Organization
GREENLINE MEDICAL CORPORATION
Active
Other names
Eagle Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY GREEN D.O. (PHYSICIAN)
(770) 754-9880
Entity
Organization
Contact information
Practice address
804 BOMBAY LN, ROSWELL, GA 30076-5819
(770) 754-9880
(770) 754-9881
Mailing address
804 BOMBAY LN, ROSWELL, GA 30076-5819
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
058478
GA
208VP0000X
Pain Medicine Physician
058478
GA
Other
Enumeration date
02/19/2011
Last updated
02/19/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers