Provider Demographics
NPI:1639948722
Name:GENESIS BIRTH CONCEPTS INC.
Entity Type:Organization
Organization Name:GENESIS BIRTH CONCEPTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN-PYE
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, MACE, MA-HSC
Authorized Official - Phone:404-218-9496
Mailing Address - Street 1:220 ELYSIAN DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-2593
Mailing Address - Country:US
Mailing Address - Phone:404-218-9496
Mailing Address - Fax:
Practice Address - Street 1:2788 BAYARD ST STE 100
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30344-3440
Practice Address - Country:US
Practice Address - Phone:404-218-9496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty