Organization
GENESIS BIRTH CONCEPTS INC.
Active
Other names
Genesis Birth Concepts Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TIARA MACK FNP (NP)
(404) 291-8028
Entity
Organization
Contact information
Practice address
2788 BAYARD ST STE 100, ATLANTA, GA 30344-3440
(404) 218-9496
Mailing address
2788 BAYARD ST, EAST POINT, GA 30344-3441
(404) 291-8028
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Enumeration date
12/29/2023
Last updated
03/17/2025
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