| Gencare Of Georgia, Inc. | |
|
11 Kiker St East Ellijay GA 30540 | |
| (706) 276-2273 | |
| (706) 276-2277 |
| Full Name | Gencare Of Georgia, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11 Kiker St, East Ellijay, Georgia |
| Authorized Official Name and Position | Exie Ruth Buffington (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7062762273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gencare Of Georgia, Inc. Po Box 1119 East Ellijay GA 30539 Ph: (706) 276-2273 | Gencare Of Georgia, Inc. 11 Kiker St East Ellijay GA 30540 Ph: (706) 276-2273 |
| NPI Number | 1932431525 |
|---|---|
| Provider Enumeration Date | 02/05/2010 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932431525 | NPI | - | NPPES |
| 003104485A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Genesis Behavioral Health Care Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34 Oak St, East Ellijay, GA 30540 Phone: 706-636-5679 Fax: 706-636-5680 |