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General NPI Number Information
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NPI Number | 1316657323
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Entity Type | Organization
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Legal Business Name | GENESIS HEALTHCARE GROUP OF ATLANTA
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 1720 PEACHTREE ST NW STE 1010A
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City | ATLANTA
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State | GA
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Zip | 30309-2449
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Country | US
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Telephone | 404-664-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 270 17TH ST NW UNIT 2908
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City | ATLANTA
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State | GA
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Zip | 30363-1260
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Country | US
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Telephone | 404-664-5111
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES ALAN BELK
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Credential |
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Telephone | 404-664-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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