Genesis Physiatry LLC
Physical Medicine & Rehabilitation in Newnan, GA. Organization (NPI-2).
NPI number1982127908
StatusActive
Last updated in NPPESJul 21, 2017
Details
- NPI
- 1982127908
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Physiatry LLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2017
- Last updated
- Jul 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
2101 Newnan Crossing Blvd ENewnan, GA 30265-2406
Phone 404-226-3948
Mailing address
Po Box 306Fayetteville, GA 30214-0306
Authorized official
Ashli Phillips Alexander
Owner
4042263948
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