EVERGREEN MEDICAL COSMETIC LASER CENTER is a primary care clinic center in Oneonta, AL. EVERGREEN MEDICAL COSMETIC LASER CENTER NPI is 1992144240. The provider is registered as an organization entity type.
The provider's business location address is:
104 1ST AVE EAST
ONEONTA, AL
ZIP 35121
Phone: (205) 834-2672
The provider's authorized official is Jian Huai Fong .
The authorized official title is Md and has the following contact phone number (205) 834-2672.
The enumeration date for this NPI number is 6/20/2013 and was last updated on 6/20/2013.