Individual provider · Type 1 NPI
Kurt Greenwall, MD
Clinic/Center · Ellijay, GA
NPI number
1598084485
Active
Practice location
1777 Zion Hill Rd
Ellijay, GA 30540-0316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 027556 (GA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1598084485
Kurt Greenwall, MD's National Provider Identifier is 1598084485, issued on May 18, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Ellijay, GA. The record was last updated on May 18, 2010.