Organization
GENESIS PHYSIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLI PHILLIPS ALEXANDER M.D. (OWNER)
(404) 226-3948
Entity
Organization
Contact information
Practice address
2101 NEWNAN CROSSING BLVD E, NEWNAN, GA 30265-2406
(404) 226-3948
Mailing address
PO BOX 306, FAYETTEVILLE, GA 30214-0306
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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