Individual
KURT GREENWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1777 ZION HILL RD, ELLIJAY, GA 30540-0316
(706) 636-2746
Mailing address
1777 ZION HILL RD, ELLIJAY, GA 30540-0316
(706) 636-2746
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
027556
GA
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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