| Genesis Healthcare Associates Pc | |
|
3200 Highlands Parkway Suite 250 Smyrna GA 30082 | |
| (770) 434-1662 | |
| (770) 434-1304 |
| Full Name | Genesis Healthcare Associates Pc |
|---|---|
| Speciality | General Practice |
| Location | 3200 Highlands Parkway, Smyrna, Georgia |
| Authorized Official Name and Position | Carla Yvette Neal-haley (CEO) |
| Authorized Official Contact | 7704341662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Healthcare Associates Pc 3200 Highlands Parkway Suite 250 Smyrna GA 30082 Ph: (770) 434-1662 | Genesis Healthcare Associates Pc 3200 Highlands Parkway Suite 250 Smyrna GA 30082 Ph: (770) 434-1662 |
| NPI Number | 1154453736 |
|---|---|
| Provider Enumeration Date | 03/10/2007 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 9537383252 |
|---|---|
| Medicare Enrollment ID | O20140618001743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154453736 | NPI | - | NPPES |
| 00744279V | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Carla Y Neal Haley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306885397 PECOS PAC ID: 9638118839 Enrollment ID: I20070131000205 |
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