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1205662004
GENESIS MEDICAL PRACTICE, PLLC
GREENSBORO, NC
NPI
1205662004
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Entity Type
Organization
Authorized Contact
BRIAN SHACKLEFORD
Owner
919-370-8188
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
GENESIS MEDICAL PRACTICE, PLLC
1921 NEW GARDEN RD
GREENSBORO, NC 27410-2193
Phone number: 919-370-8188
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Mailing Address
GENESIS MEDICAL PRACTICE, PLLC
1921 NEW GARDEN RD APT I104
GREENSBORO, NC 27410-2200
Phone number:
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