| Eagle Medical Center | |
|
804 Bombay Ln Roswell GA 30076-5819 | |
| (770) 754-9880 | |
| (770) 754-9881 |
| Full Name | Eagle Medical Center |
|---|---|
| Speciality | General Practice |
| Location | 804 Bombay Ln, Roswell, Georgia |
| Authorized Official Name and Position | Kimberly Green (PHYSICIAN) |
| Authorized Official Contact | 7707549880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Medical Center 804 Bombay Ln Roswell GA 30076-5819 Ph: () - | Eagle Medical Center 804 Bombay Ln Roswell GA 30076-5819 Ph: (770) 754-9880 |
| NPI Number | 1073810453 |
|---|---|
| Provider Enumeration Date | 02/19/2011 |
| Last Update Date | 02/19/2011 |
| Medicare PECOS PAC ID | 6507047636 |
|---|---|
| Medicare Enrollment ID | O20110223000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073810453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 058478 (Georgia) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | 058478 (Georgia) | Secondary |
| Provider Name | Kimberly J Green |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720174873 PECOS PAC ID: 7719987296 Enrollment ID: I20070106000109 |
Centered Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Upper Hembree Rd Ste F, Roswell, GA 30076 Phone: 770-410-4894 | |
Crabapple Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 W Crossville Rd, Suite 501, Roswell, GA 30075 Phone: 770-594-1233 Fax: 770-594-0037 | |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11490 Alpharetta Hwy, Suite 200, Roswell, GA 30076 Phone: 770-740-8592 Fax: 770-752-9478 | |
Welcome Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11205 Alpharetta Hwy Ste B-6a, Roswell, GA 30076 Phone: 770-753-4884 Fax: 770-753-0507 | |
Clinica Union Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 861 Holcomb Bridge Rd, Ste 200, Roswell, GA 30076 Phone: 770-992-4455 | |
Hip Medical Georgia,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11660 Alpharetta Hwy Ste 285, Roswell, GA 30076 Phone: 404-255-5774 |