Genesis Family Medicine & Aesthetics, LLC
NPI #1417406513 in Flowery Branch, Georgia
Provider Information
- NPI Number
- 1417406513
- Entity Type
- Organization
- Organization Name
- Genesis Family Medicine & Aesthetics, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 29, 2016
- Last Updated
- Sep 29, 2016
Practice Location
- Address
- 7316 SPOUT SPRINGS RD
- Address 2
- SUITE 201
- City
- Flowery Branch
- State
- Georgia
- ZIP Code
- 30542-5665
- Phone
- (678) 262-8242
Authorized Official
- Name
- MARIBEL CHAVEZ
- Title
- CEO/CFO
- Phone
- (678) 262-8242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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