Eagle Medical Center

LBN: Greenline Medical Corporation
Eagle Medical Center is an health care organization with primary practice located at 804 Bombay Ln , Roswell GA 30076-5819. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Greenline Medical Corporation can be contacted via phone (770) 754-9880, or through Green, Kimberly via phone (770) 754-9880.

Contact Information

Primary practice address
804 Bombay Ln Roswell GA 30076-5819
Phone: (770) 754-9880
Fax: (770) 754-9881
Website:
Map and Directions
Authorized official contact:
Name: Green, Kimberly Doctor of Osteopathy (DO)
Phone: (770) 754-9880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 058478 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 058478 Georgia

Profile Details

NPI number 1073810453
LBN Legal business name Greenline Medical Corporation
DBA Doing business as Eagle Medical Center
Authorized official Green, Kimberly Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2011
Last updated Feb 19th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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