# GENESIS BIRTH CONCEPTS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesis Birth Concepts Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639948722
- **Authorized official:** TIARA MACK FNP (NP)
- **Authorized official phone:** (404) 291-8028

## Contact information

- **Practice address:** 2788 BAYARD ST STE 100, ATLANTA, GA 30344-3440
- **Practice address phone:** (404) 218-9496
- **Mailing address:** 2788 BAYARD ST, EAST POINT, GA 30344-3441
- **Mailing address phone:** (404) 291-8028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |

## Other

- **Enumeration date:** 12/29/2023
- **Last updated:** 03/17/2025