| NPI | 1376089698 |
|---|---|
| Doing Business As | GENESIS NEUROSCIENCE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MONICA K. CRANE Owner 865-888-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2019-03-27 |