| Evergreen Medical Cosmetic Laser Center | |
|
104 1st Ave East Oneonta AL 35121 | |
| (205) 834-2672 | |
| Not Available |
| Full Name | Evergreen Medical Cosmetic Laser Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 104 1st Ave East, Oneonta, Alabama |
| Authorized Official Name and Position | Jian Huai Fong (MD) |
| Authorized Official Contact | 2058342672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Medical Cosmetic Laser Center 1638 Crossgate Dr Birmingham AL 35216 Ph: (205) 834-2672 | Evergreen Medical Cosmetic Laser Center 104 1st Ave East Oneonta AL 35121 Ph: (205) 834-2672 |
| NPI Number | 1992144240 |
|---|---|
| Provider Enumeration Date | 06/20/2013 |
| Last Update Date | 06/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992144240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 27530 (Alabama) | Primary |
St. Vincent's Blount Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Oneonta, AL 35121 Phone: 205-274-3001 Fax: 205-274-3002 | |
Ascension St. Vincent's Primary Care Oneonta Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 Gilbreath Dr, Suite 201, Oneonta, AL 35121 Phone: 205-274-3010 | |
Primary Care Services-blount, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Lemley Dr Ste A, Oneonta, AL 35121 Phone: 205-625-3561 Fax: 205-274-9638 | |
St. Vincent's Blount Hospitalist Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Attn: Administration / Hospitalist Services, Oneonta, AL 35121 Phone: 205-274-3010 Fax: 205-274-3002 | |
Eastern Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Oneonta, AL 35121 Phone: 205-274-3344 | |
Midway Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27550 State Highway 75 Ste 105, Oneonta, AL 35121 Phone: 256-451-1250 | |
St Vincents Blount Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Suite 200, Oneonta, AL 35121 Phone: 205-838-5286 |