Genesys Family Practice, Inc.

NPI 1407973936 - Family Medicine - 207Q00000X

NPI Details
NPI 1407973936
Enumeration Date 03/22/2007
Last Updated 08/12/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name IVY YVONNE IVY
Position OWNER
Phone (770) 964-5810
Fax (678) 364-1216
Practice Location
120 HANDLEY RD
SUITE 410
TYRONE GA, 30290, US
Phone (770) 964-5810
Fax (678) 364-1216
Business Location
120 HANDLEY RD
SUITE 410
TYRONE GA, 30290, US
Phone (770) 964-5810
Fax (678) 364-1216
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 053075
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According to our database, Genesys Family Practice, Inc. NPI is 1407973936, taxonomy code is 207Q00000X and license number is 053075, license state is located at Georgia. Genesys Family Practice, Inc. physically located at 120 Handley Rd, Tyrone GA, 30290. NPI Number 1033115704 has the healthcare provider type.

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1407973936 NPI number is provided on an as is basis without warranty of any kind. 1407973936 is maintained by the National Plan & Provider Enumeration System. The contents of Genesys Family Practice, Inc. are for informational purposes only.