Egreen Enterprises, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EGREEN ENTERPRISES, INC

Practice address

3150 Golf Ridge Bldvd
Suite 101
Douglasville, GA 30135

Phone

(770) 990-3335

NPI assigned

Dec 27, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edie A. Swaggard-Green, R, PH

Title

Owner/President

Phone

(716) 308-6266

Specialties & licenses 1

Addresses

Other names 1

• ARC Point Labs of Douglasville Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1275293656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 CHAPEL LAKE CIRCLE",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "716-308-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 GOLF RIDGE BLDVD",
            "address_2": "SUITE 101",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "770-990-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGREEN ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "SWAGGARD-GREEN",
        "authorized_official_first_name": "EDIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "716-308-6266",
        "authorized_official_credential": "R, PH"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARC Point Labs of Douglasville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond Edouard, FNP-C
• Edward H Pottlitzer OD PC
• Anthony Edwards
• Jenna Nicole Edwards
• William Carlton Edwards Sr., O.D.
• Ehi Pharmacy Solutions, LLC.
• Mariagorrathy Nkiru Ejike
• Ihuoma Joyce Ejisoby
• Amalachukwu Eke-Okoro
• Odinakachi Eke-Okoro

• Clinical Medical Laboratory in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.