| NPI | 1205031291 |
|---|---|
| Doing Business As | THE GENESIS CENTER |
| Entity Type | Organization |
| Authorized Contact | STACIE SLOAN Office Manager 678-947-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: GA 012495) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2009-03-19 |