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EVERGREEN MEDICAL COSMETIC LASER CENTER
NPI 1992144240
Clinic/Center - Primary Care in Oneonta, AL

Active since June 20, 2013
104 1ST AVE EAST, ONEONTA, AL 35121(205) 834-2672 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Medical Cosmetic Laser Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN MEDICAL COSMETIC LASER CENTER (NPI 1992144240) is a healthcare organization registered as a primary care in Oneonta, Alabama and active in the NPI registry since June 2013. The organization lists Jian Huai Fong, Md, as its authorized official.

NPPES Registry Identity

NPI1992144240
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERGREEN MEDICAL COSMETIC LASER CENTER
Location Address104 1ST AVE EASTOneonta, AL 35121
Mailing Address1638 Crossgate DrBirmingham, AL 35216 · (205) 834-2672
Phone(205) 834-2672
Organization SubpartNo
Authorized OfficialJian Huai FongMd · (205) 834-2672
Enumeration DateJune 20, 2013
✔ NPI 1992144240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AL · 27530
104 1ST AVE EAST, Oneonta, AL 35121
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Medical Cosmetic Laser Center's NPI number?

The NPI number for Evergreen Medical Cosmetic Laser Center is 1992144240. It was assigned to this organization in the NPPES registry on June 20, 2013.

Where is Evergreen Medical Cosmetic Laser Center located?

Evergreen Medical Cosmetic Laser Center is located at 104 1st Ave East, Oneonta, AL 35121. The listed phone number is (205) 834-2672.

What is Evergreen Medical Cosmetic Laser Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Evergreen Medical Cosmetic Laser Center was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.