Dr. Herbert Sam Greenwald JR.
Ophthalmologist
5067 Wellington Dr
Macon
, Georgia 31210-4429
Dr. Herbert Sam Greenwald JR.
Ophthalmologist
5067 Wellington Dr
Macon
, Georgia 31210-4429
(478) 474-6247
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Herbert Sam Greenwald JR.
- Po Box 26700
- Macon, GA
- Zip : 31221-6700
- Fax : (478) 474-6247
- Phone : (478) 474-7430
Second Address
- Dr. Herbert Sam Greenwald JR.
- 5067 Wellington Dr
- Macon, GA
- Zip : 31210-4429
- Fax : (478) 474-6247
- Phone : (478) 474-7430
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 011346 | GA |
National Provider Identifier
| NPI | 1013135565 |
|---|---|
| Provider Name | Dr. Herbert Sam Greenwald JR. |
| First Address | Macon, GA 31221-6700 |
| Second Address | Macon, GA 31210-4429 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 011346 | MEDICAL LICENSE (01) | GA |
| AG5253199 | NARCOTICS LICENSE (01) | GA |
| D45486 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.