Genesis Family Healthcare PLLC
Organization Active NPI Family Medicine Physician · Gray, TN
NPI 1154569952 · NPPES record last updated Jun 22, 2009
Key facts
- NPI
- 1154569952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- PA844 (TN)
- Legal business name
- GENESIS FAMILY HEALTHCARE PLLC
- Practice address
- 2244 Boones Creek Rd
Gray, TN 37615-4432 - Phone
- (423) 753-4000
- Fax
- (423) 753-4004
- NPI assigned
- Feb 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Joe K Reid II, PA-C
- Title
- Owner
- Phone
- (423) 753-4000
Practitioners 2
-
Borzou Azima, MD
-
Sonya S Saadati, DO
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | PA844 | TN | Yes |
Addresses
Primary practice location
2244 Boones Creek Rd
Gray, TN 37615-4432
Mailing address
2244 Boones Creek Rd
Gray, TN 37615-4432
Phone (423) 753-4000
Other providers in Gray, TN
- Mary Frances Filonuk
- Foundation Health Services, PLLC
- Frontier Health
- Frontier Health
- Leigh A Furman
- Joshua Gibson
- Brandy Goble
- Bryon K Grant
- Gray Family Clinic PLC
- Gray Family Healthcare PC
All providers in Gray, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.