# GENESIS CENTER FOR WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154747418
- **Authorized official:** JOSEPH JOSHUA GILMER DC (CHIROPRACTIC PHYSICIAN)
- **Authorized official phone:** (423) 788-3294

## Contact information

- **Practice address:** 2244 BOONES CREEK RD, JOHNSON CITY, TN 37615-4432
- **Practice address phone:** (423) 788-3294
- **Practice address fax:** (423) 788-3295
- **Mailing address:** 2244 BOONES CREEK RD, JOHNSON CITY, TN 37615-4432
- **Mailing address phone:** (423) 788-3294
- **Mailing address fax:** (423) 788-3295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC0000002432 | TN | — |
| 207Q00000X | Family Medicine Physician | PA1941 | TN | Yes |

## Other

- **Enumeration date:** 03/11/2014
- **Last updated:** 03/11/2014