Organization
GENESIS MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA YVONNE MARLING NP (OWNER)
(864) 644-8303
Entity
Organization
Contact information
Practice address
109 FLEETWOOD DR, SUITE E, EASLEY, SC 29640-2019
(864) 644-8303
Mailing address
PO BOX 328, EASLEY, SC 29641
(864) 506-1414
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
F2099
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5985
—
SC
Enumeration date
06/27/2012
Last updated
09/20/2017
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