Greenwald, Corey S.
Greenwald, Corey S. is an sole proprietor health care provider with primary practice located at 2711 Irvin Way Suite 211, Decatur GA 30030-5405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Greenwald, Corey S. can be contacted via phone (404) 501-0001.Contact Information
Primary practice address
2711 Irvin Way Suite 211
Decatur GA 30030-5405
Phone: (404) 501-0001
Fax: (404) 501-0023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 041130 | Georgia |
Profile Details
| NPI number | 1407857477 |
|---|---|
| LBN Legal business name | Greenwald, Corey S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Feb 8th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407857477 | NPPES |
| Georgia | MEDICAID | 000703293D | |
| Georgia | MEDICAID | 000703293B | |
| Georgia | MEDICAID | 000703293C | |
| Georgia | MEDICAID | 000703293A |
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