Greenwald, Jodi M.

Greenwald, Jodi M. is an individual health care provider with primary practice located at 1285 Hembree Rd Ste 100, Roswell GA 30076-5715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Greenwald, Jodi M. can be contacted via phone (770) 442-1050.

Contact Information

Primary practice address
1285 Hembree Rd Ste 100 Roswell GA 30076-5715
Fax: (770) 442-9618
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 047218 Georgia

Profile Details

NPI number 1073519930
LBN Legal business name Greenwald, Jodi M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 8th, 2007 - about 17 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 1073519930 NPPES
Georgia MEDICAID 00840012D

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