Greenwald, Herbert Sam

Greenwald, Herbert Sam is an sole proprietor health care provider with primary practice located at 5067 Wellington Dr , Macon GA 31210-4429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Greenwald, Herbert Sam can be contacted via phone (478) 474-7430.

Contact Information

Primary practice address
5067 Wellington Dr Macon GA 31210-4429
Fax: (478) 474-6247
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 011346 Georgia

Profile Details

NPI number 1013135565
LBN Legal business name Greenwald, Herbert Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1013135565 NPPES
Georgia Other AG5253199 NARCOTICS LICENSE
Georgia Other 011346 NARCOTICS LICENSE

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