Male or Other

Dr. Herbert S. Greenwald M.D.

Ophthalmology Physician in Macon, GA(View on Map)

Full Name

Dr. Herbert Sam Greenwald M.D.

NPI Number

1013135565

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/22/2007

Specialties

(Taxonomies)

Code

207W00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

011346

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 26700
5067 WELLINGTON DR

City

Macon
Macon

State

GA
GA

Postal Code

31221-6700
31210-4429

Country

US
US

Telephone Number

(478) 474-7430
(478) 474-7430

Identifiers

Identifier

AG5253199
011346

Identifier State

GA
GA

Identifier Issuer

NARCOTICS LICENSE
MEDICAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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