Organization
GENESIS FAMILY MEDICINE & AESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL CHAVEZ (CEO/CFO)
(678) 262-8242
Entity
Organization
Contact information
Practice address
7316 SPOUT SPRINGS RD, SUITE 201, FLOWERY BRANCH, GA 30542-5665
(678) 262-8242
Mailing address
7316 SPOUT SPRINGS RD, SUITE 201, FLOWERY BRANCH, GA 30542-5665
(678) 262-8242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33410
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000647006A
—
GA
Enumeration date
09/29/2016
Last updated
09/29/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us