| Genesis Family Medicine & Aesthetics, Llc | |
|
7316 Spout Springs Rd Suite 201 Flowery Branch GA 30542-5665 | |
| (678) 262-8242 | |
| Not Available |
| Full Name | Genesis Family Medicine & Aesthetics, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7316 Spout Springs Rd, Flowery Branch, Georgia |
| Authorized Official Name and Position | Maribel Chavez (CEO/CFO) |
| Authorized Official Contact | 6782628242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Family Medicine & Aesthetics, Llc 7316 Spout Springs Rd Suite 201 Flowery Branch GA 30542-5665 Ph: (678) 262-8242 | Genesis Family Medicine & Aesthetics, Llc 7316 Spout Springs Rd Suite 201 Flowery Branch GA 30542-5665 Ph: (678) 262-8242 |
| NPI Number | 1417406513 |
|---|---|
| Provider Enumeration Date | 09/29/2016 |
| Last Update Date | 09/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417406513 | NPI | - | NPPES |
| 000647006A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33410 (Georgia) | Primary |
Guilford Immediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7367 Spout Springs Rd, Suite 115-135, Flowery Branch, GA 30542 Phone: 770-965-6464 Fax: 770-956-6469 | |
Medlife Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2129 Friendship Rd Ste 200, Flowery Branch, GA 30542 Phone: 770-209-2787 Fax: 678-866-2348 |