Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Greenline Medical Corporation

Organization General Practice Physician · NPI 1073810453

Greenline Medical Corporation is a General Practice Physician in Roswell, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

804 Bombay Ln
Roswell, GA 30076-5819
Phone: (770) 754-9880
Fax: (770) 754-9881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 058478 (GA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 058478 (GA)

Record details

NPI number1073810453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Green — Physician · (770) 754-9880
Other names Eagle Medical Center
NPI enumeratedFebruary 19, 2011
Last updated in NPPESFebruary 19, 2011
Mailing address804 Bombay Ln, Roswell, GA 30076-5819

Other providers in Roswell