Jodi M. Greenwald
Adolescent Medicine
1285 Hembree Rd Ste 100
Roswell
, Georgia 30076-5715
Jodi M. Greenwald
Adolescent Medicine
1285 Hembree Rd Ste 100
Roswell
, Georgia 30076-5715
(770) 442-9618
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Jodi M. Greenwald
- 1285 Hembree Rd Ste 100
- Roswell, GA
- Zip : 30076-5715
- Fax : (770) 442-9618
- Phone : (770) 442-1050
Second Address
- Jodi M. Greenwald
- 1285 Hembree Rd Ste 100
- Roswell, GA
- Zip : 30076-5715
- Fax : (770) 442-9618
- Phone : (770) 442-1050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 047218 | GA |
National Provider Identifier
| NPI | 1073519930 |
|---|---|
| Provider Name | Jodi M. Greenwald |
| First Address | Roswell, GA 30076-5715 |
| Second Address | Roswell, GA 30076-5715 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00840012D | (05) | 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.