| Jenesis Consulting and Development | |
|
4274 Belair Frontage Rd Ste 1 Augusta GA 30909-9428 | |
| (678) 464-8223 | |
| (706) 432-6290 |
| Full Name | Jenesis Consulting and Development |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4274 Belair Frontage Rd Ste 1, Augusta, Georgia |
| Authorized Official Name and Position | Monique Carter (PRESIDENT) |
| Authorized Official Contact | 6784648223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenesis Consulting and Development 4274 Belair Frontage Rd Ste 1 Augusta GA 30909-9428 | Jenesis Consulting and Development 4274 Belair Frontage Rd Ste 1 Augusta GA 30909-9428 Ph: (678) 464-8223 |
| NPI Number | 1558874974 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 11/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558874974 | NPI | - | NPPES |
| 049473917 | Other | GA | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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