Genesys Family Practice, Inc.

NPI #1407973936 in Tyrone, Georgia

Provider Information

NPI Number: 1407973936
Entity Type: Organization
Organization Name: Genesys Family Practice, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Mar 22, 2007
Last Updated: Aug 12, 2008

Practice Location

Address: 120 HANDLEY RD
Address 2: SUITE 410
City: Tyrone
State: Georgia
ZIP Code: 30290
Phone: (770) 964-5810

Authorized Official

Name: IVY YVONNE SMITH, MD
Title: OWNER
Phone: (770) 964-5810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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