Organization
GENESIS MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY R RAYMOND (CAO OF PHYSICIAN SERVICES)
(740) 454-4788
Entity
Organization
Contact information
Practice address
2854 BELL ST STE B, ZANESVILLE, OH 43701-1721
(740) 588-1091
Mailing address
945 BETHESDA DR STE 200, ZANESVILLE, OH 43701-1880
(740) 454-4788
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/14/2011
Last updated
07/24/2012
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