OrganizationActive
Genesis Eldercare Physician Services LLC
NPI 1790188076 · Geriatric Medicine (Internal Medicine) Physician · La Follette, TN
Provider details
- NPI number
- 1790188076
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eric Shapiro, Vice President(410) 832-7790
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
136 Davis Ln
La Follette, TN 37766
Phone: (423) 562-0760
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 62946
Baltimore, MD 21264-2946
Registry dates
- Enumerated
- 2014-10-01
- Last updated
- 2019-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.