| Genesis Family Healthcare Pllc | |
|
2244 Boones Creek Rd Gray TN 37615-4432 | |
| (423) 753-4000 | |
| (423) 753-4004 |
| Full Name | Genesis Family Healthcare Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2244 Boones Creek Rd, Gray, Tennessee |
| Authorized Official Name and Position | Joe K Reid Ii (OWNER) |
| Authorized Official Contact | 4237534000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Family Healthcare Pllc 2244 Boones Creek Rd Gray TN 37615-4432 Ph: (423) 753-4000 | Genesis Family Healthcare Pllc 2244 Boones Creek Rd Gray TN 37615-4432 Ph: (423) 753-4000 |
| NPI Number | 1154569952 |
|---|---|
| Provider Enumeration Date | 02/02/2009 |
| Last Update Date | 06/22/2009 |
| Medicare PECOS PAC ID | 7214087519 |
|---|---|
| Medicare Enrollment ID | O20090608000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154569952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PA844 (Tennessee) | Primary |
| Provider Name | Randall L Belt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265475321 PECOS PAC ID: 9436131141 Enrollment ID: I20050225000263 |
Msmg Ob Gyn Gray Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Gray Commons Cir, Suite B, Gray, TN 37615 Phone: 423-392-6370 Fax: 423-392-6081 | |
Gray Family Clinic Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 132 Old Gray Station Road, Gray, TN 37615 Phone: 423-467-8001 Fax: 423-467-8003 | |
Gray Family Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Gray Commons Cir, Gray, TN 37615 Phone: 423-477-0600 Fax: 423-477-0611 |