Greenwald, Corey S.

Greenwald, Corey S. is an sole proprietor health care provider with primary practice located at 2711 Irvin Way Suite 211, Decatur GA 30030-5405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Greenwald, Corey S. can be contacted via phone (404) 501-0001.

Contact Information

Primary practice address
2711 Irvin Way Suite 211 Decatur GA 30030-5405
Phone: (404) 501-0001
Fax: (404) 501-0023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 041130 Georgia

Profile Details

NPI number 1407857477
LBN Legal business name Greenwald, Corey S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Feb 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407857477 NPPES
Georgia MEDICAID 000703293D
Georgia MEDICAID 000703293B
Georgia MEDICAID 000703293C
Georgia MEDICAID 000703293A

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