Organization
GENMEDGA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CORY HARRISON NP-C (OWNER)
(770) 324-9986
Entity
Organization
Contact information
Practice address
230 EAST AVE, CEDARTOWN, GA 30125-3002
(770) 749-0420
(770) 748-0508
Mailing address
303 KIMWOOD DR, CEDARTOWN, GA 30125-6340
(770) 324-9986
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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