Organization · Type 2 NPI

Genesis Project 1

Point of Service · Charlotte, NC

NPI number 1417364480 Active

Practice location

5108 Reagan Dr, Suite 14
Charlotte, NC 28206-3103

Call (704) 596-0505 Map

Fax (704) 596-0507

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XP009049 (NC)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1417364480

Genesis Project 1's National Provider Identifier is 1417364480, issued on Jul 22, 2014. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 22, 2014.