| Genesis Eldercare Physician Services Llc | |
|
415 Airport Rd Griffin GA 30224-4834 | |
| (410) 543-1957 | |
| Not Available |
| Full Name | Genesis Eldercare Physician Services Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 415 Airport Rd, Griffin, Georgia |
| Authorized Official Name and Position | Eric Shapiro (VP, CONTROLLER) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Eldercare Physician Services Llc Po Box 42738 Towson MD 21284-2738 Ph: (410) 494-7607 | Genesis Eldercare Physician Services Llc 415 Airport Rd Griffin GA 30224-4834 Ph: (410) 543-1957 |
| NPI Number | 1699191452 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 04/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699191452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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