EVERGREEN MEDICAL COSMETIC LASER CENTER

ONEONTA, AL
NPI1992144240
Entity TypeOrganization
Authorized ContactJIAN HUAI FONG
Md
205-834-2672
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: AL  27530)
Enumeration Date2013-06-20
Last Update Date2013-06-20
Business Address
EVERGREEN MEDICAL COSMETIC LASER CENTER
104 1ST AVE EAST
ONEONTA, AL 35121
Phone number: 205-834-2672
Mailing Address
EVERGREEN MEDICAL COSMETIC LASER CENTER
1638 CROSSGATE DR
BIRMINGHAM, AL 35216
Phone number: 205-834-2672
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