Greens Pathology, P.C.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

060396 Issued in GA

Legal business name

GREENS PATHOLOGY, P.C.

Practice address

4202 Hannahs Xing
Evans, GA 30809-8008

Phone

(262) 347-8216

Fax

(706) 550-0928

NPI assigned

May 3, 2010

Last updated

May 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margarita Kouzova, MD

Title

Physician

Phone

(262) 347-8216

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1437476298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 COWLES CLINIC WAY,",
            "address_2": "COWLES CLINIC, SUITE A-400",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "30642",
            "telephone_number": "706-550-0928",
            "fax_number": "706-550-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 HANNAHS XING",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308098008",
            "telephone_number": "262-347-8216",
            "fax_number": "706-550-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENS PATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "KOUZOVA",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "262-347-8216",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "060396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Gray, MN, FNP
• Roland H Green Jr., M.D.
• Skyla Green
• Toreya Green, RBT
• Greenbrier Family Dental
• Katie Ann Gresham, APRN
• Thais Grice
• Carly Lambert Griffies, PA-C
• Brent Thomas Griffin, M.D.
• Kiara Griffin, RN BSN

• Clinical Medical Laboratory in Evans, GA
• Providers in Evans, 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 May 3, 2010; 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.