| The Genesis Center | |
|
104 Colony Park Dr Suite 800 Cumming GA 30040-2792 | |
| (678) 947-4454 | |
| (678) 208-9876 |
| Full Name | The Genesis Center |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 104 Colony Park Dr, Cumming, Georgia |
| Authorized Official Name and Position | Stacie Sloan (OFFICE MANAGER) |
| Authorized Official Contact | 6789474454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Genesis Center 104 Colony Park Dr Suite 800 Cumming GA 30040-2792 Ph: (678) 947-4454 | The Genesis Center 104 Colony Park Dr Suite 800 Cumming GA 30040-2792 Ph: (678) 947-4454 |
| NPI Number | 1205031291 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205031291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 012495 (Georgia) | Primary |
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