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Genesis Project 1 Valid NPI

Organization · Point of Service · Charlotte, NC

NPI
1417364480
Type
Organization (Type 2)
Primary specialty
Point of Service
Specialty group
Managed Care Organizations
Taxonomy code
305S00000X
License number
P009049 (NC)
Enumerated
2014-07-22
Last updated
2014-07-22
Practice location
5108 Reagan Dr, Suite 14
Charlotte, NC 28206-3103
(704) 596-0505

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