Healthcare Provider Details

I. General information

NPI: 1396748562
Provider Name (Legal Business Name): GERIANNE C GESZLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 03/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 FORSYTHE ST
FAYETTEVILLE NC
28303-5426
US

IV. Provider business mailing address

PO BOX 87448
FAYETTEVILLE NC
28304-7448
US

V. Phone/Fax

Practice location:
  • Phone: 910-485-0700
  • Fax: 910-483-9572
Mailing address:
  • Phone: 910-485-0700
  • Fax: 910-483-9572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number30552
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: