Organization
GENESIS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL VEAL JR. (DIRECTOR)
(478) 272-5020
Entity
Organization
Contact information
Practice address
1022 HILLCREST PKWY, STE 106, DUBLIN, GA 31021
(478) 272-5020
(478) 272-5024
Mailing address
1022 HILLCREST PARKWAY, STE 100 P.O. BOX 16062, DUBLIN, GA 31021
(478) 272-5020
(478) 272-5024
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3336C0002X
GA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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