# GENESIS PHYSIATRY LLC

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

## Provider details

- **NPI number:** 1982127908
- **Authorized official:** DR. ASHLI PHILLIPS ALEXANDER M.D. (OWNER)
- **Authorized official phone:** (404) 226-3948

## Contact information

- **Practice address:** 2101 NEWNAN CROSSING BLVD E, NEWNAN, GA 30265-2406
- **Practice address phone:** (404) 226-3948
- **Mailing address:** PO BOX 306, FAYETTEVILLE, GA 30214-0306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2017
- **Last updated:** 07/21/2017