Provider Demographics
NPI:1497337554
Name:GENESIS BIRTH AND WELLNESS
Entity type:Organization
Organization Name:GENESIS BIRTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE MIDWIFE/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:DUNCAN
Authorized Official - Last Name:ARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:864-565-8646
Mailing Address - Street 1:9 TOY ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-3122
Mailing Address - Country:US
Mailing Address - Phone:864-565-8646
Mailing Address - Fax:864-546-0767
Practice Address - Street 1:9 TOY ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3122
Practice Address - Country:US
Practice Address - Phone:864-565-8646
Practice Address - Fax:864-565-8606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service