Evergreen Medical Cosmetic Laser Center

LBN: Evergreen Medical Cosmetic Laser Center
Evergreen Medical Cosmetic Laser Center is an health care organization with primary practice located at 104 1St Ave East , Oneonta AL 35121. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Evergreen Medical Cosmetic Laser Center can be contacted via phone (205) 834-2672, or through Fong, Jian Huai via phone (205) 834-2672.

Contact Information

Primary practice address
104 1St Ave East Oneonta AL 35121
Phone: (205) 834-2672
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fong, Jian Huai Doctor of Medicine (MD)
Phone: (205) 834-2672

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 27530 Alabama

Profile Details

NPI number 1992144240
LBN Legal business name Evergreen Medical Cosmetic Laser Center
DBA Doing business as
Authorized official Fong, Jian Huai Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2013
Last updated Jun 20th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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