Whalio Doctors

NPI 1275293656

Egreen Enterprises, INC

Organisation Clinical Medical Laboratory Douglasville, GA

Practice location

Address
3150 Golf Ridge Bldvd Suite 101, Douglasville, GA 30135
Phone
(770) 990-3335
Mailing address
5072 Chapel Lake Circle, Douglasville, GA 30135

Authorised official

Name
Edie A. Swaggard-Green
Title
Owner/President
Phone
(716) 308-6266

Registered specialties

Clinical Medical Laboratory Primary
Laboratories Taxonomy 291U00000X

Registry record

NPI
1275293656
Entity type
Organization
NPI issued
27 Dec 2021
Record last updated
27 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.