| NPI | 1073810453 |
|---|---|
| Doing Business As | EAGLE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GREEN Physician 770-754-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 058478) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 058478) |
| Enumeration Date | 2011-02-19 |
| Last Update Date | 2011-02-19 |