GENESIS MEDICAL PRACTICE, PLLC

GREENSBORO, NC
NPI1205662004
Entity TypeOrganization
Authorized ContactBRIAN SHACKLEFORD
Owner
919-370-8188
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2024-09-10
Last Update Date2024-09-10
Business Address
GENESIS MEDICAL PRACTICE, PLLC
1921 NEW GARDEN RD
GREENSBORO, NC 27410-2193
Phone number: 919-370-8188
Mailing Address
GENESIS MEDICAL PRACTICE, PLLC
1921 NEW GARDEN RD APT I104
GREENSBORO, NC 27410-2200
Phone number: