1417364480 GENESIS PROJECT 1

Point of Service

Active

Basic Information

Organization Name
GENESIS PROJECT 1
Enumeration Date
July 22, 2014
Last Update
July 22, 2014
Authorized Official
DR. TRASHA BLACK PHD
CLINICAL DIRECTOR
Phone: (704) 596-0505

Practice Location

Address
5108 REAGAN DR
SUITE 14
CHARLOTTE, NC 282063103
Phone
(704) 596-0505
Fax
(704) 596-0507

Mailing Address

Address
5108 REAGAN DR
SUITE 14
CHARLOTTE, NC 282063103
Phone
(704) 596-0505
Fax
(704) 596-0507

Specialties & Taxonomies

Specialty Code Classification License State Primary
Point of Service
 305S00000X Point of Service P009049 NC Primary

Frequently Asked Questions

What is GENESIS PROJECT 1's NPI number?
GENESIS PROJECT 1's NPI number is 1417364480.
Which doctor has NPI number 1417364480?
The doctor with NPI number 1417364480 is GENESIS PROJECT 1.
What is GENESIS PROJECT 1's practice address?
GENESIS PROJECT 1's practice address is 5108 REAGAN DR, SUITE 14, CHARLOTTE, NC, 282063103.
Which doctor practices at 5108 REAGAN DR, SUITE 14, CHARLOTTE, NC, 282063103?
GENESIS PROJECT 1 practices at 5108 REAGAN DR, SUITE 14, CHARLOTTE, NC, 282063103.
What is GENESIS PROJECT 1's phone number?
GENESIS PROJECT 1's phone number is (704) 596-0505.
Who is (704) 596-0505?
(704) 596-0505 is the phone number for GENESIS PROJECT 1.
What is GENESIS PROJECT 1's specialty?
GENESIS PROJECT 1's specialty is Point of Service.
What type of doctor is GENESIS PROJECT 1?
GENESIS PROJECT 1 is a Point of Service.
Is GENESIS PROJECT 1 a Point of Service?
Yes, GENESIS PROJECT 1 is a Point of Service.
Is GENESIS PROJECT 1 still practicing?
Yes, GENESIS PROJECT 1 is currently practicing.
Is GENESIS PROJECT 1 accepting new patients?
GENESIS PROJECT 1 may be accepting new patients. Please call their office at (704) 596-0505 to inquire about availability.
Is NPI 1417364480 still active?
Yes, NPI 1417364480 is currently active.
Where does GENESIS PROJECT 1 practice?
GENESIS PROJECT 1 practices in CHARLOTTE, NC.