Organization
GENESIS MEDICAL GROUP, LLC
Active
Parent organization
GENESIS MEDICAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS MEDICAL GROUP, LLC
Authorized official
MICHAEL NORMAN (CFO)
(740) 454-4773
Entity
Organization
Contact information
Practice address
401 LINCOLN PARK DR, NEW LEXINGTON, OH 43764-1033
(740) 342-5107
Mailing address
945 BETHESDA DR STE 200, ZANESVILLE, OH 43701-1880
(740) 454-4788
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
03/01/2021
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