Organization
GENESIS MEDICAL GROUP, LLC
Active
Other names
GENESIS FOOT & ANKLE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NORMAN (CFO)
(740) 454-4773
Entity
Organization
Contact information
Practice address
3777 JAMES CT STE 1B, ZANESVILLE, OH 43701-8127
(740) 450-3294
Mailing address
2951 MAPLE AVE, ZANESVILLE, OH 43701-1406
(740) 586-6626
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/23/2020
Last updated
08/18/2020
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