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Contact Information

GENESIS ELDERCARE PHYSICIAN SERVICES LLC
420 DEAN DR
GARDENDALE, AL35071
 Phone: 205-631-8709
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GENESIS ELDERCARE PHYSICIAN SERVICES LLC · (Female)

NPI # 1598181349
Status Active
Credentials
Entity Individual
Enumeration date 03/17/2014
Last updated 08/05/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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