Organization · Type 2 NPI
Evergreen Medical Cosmetic Laser Center
Primary Care Clinic/Center · Oneonta, AL
NPI number
1992144240
Active
Practice location
104 1st Ave East
Oneonta, AL 35121
Mailing address
1638 Crossgate Dr
Birmingham, AL 35216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 27530 (AL) |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Oneonta
About NPI 1992144240
Evergreen Medical Cosmetic Laser Center's National Provider Identifier is 1992144240, issued on Jun 20, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Oneonta, AL. The record was last updated on Jun 20, 2013.