Organization
GENERATIONS FAMILY PRACTICE, PA
Active
Parent organization
GENERATIONS FAMILY PRACTICE, PA
Other names
Andre KS Tse MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERATIONS FAMILY PRACTICE, PA
Authorized official
ASHLEY RENEE LONG (PRACTICE IMPLEMENTATION MANAGER)
(984) 333-2741
Entity
Organization
Contact information
Practice address
158 MEMORIAL CT, JACKSONVILLE, NC 28546-6322
(910) 353-5111
(910) 353-2849
Mailing address
1021 DARRINGTON DR STE 101, CARY, NC 27513-8158
(984) 333-2741
(919) 378-9114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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