Organization
GENESIS HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDIA REID MD (CEO)
(919) 848-0132
Entity
Organization
Contact information
Practice address
11725 BROADFIELD CT, RALEIGH, NC 27617-4255
(919) 848-0132
Mailing address
183 WIND CHIME CT, SUITE 204, RALEIGH, NC 27615-6461
(919) 848-0132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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