Healthcare Provider Details

I. General information

NPI: 1356083174
Provider Name (Legal Business Name): DAVID GEURKINK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 HOSPITAL DR
SPRUCE PINE NC
28777-3035
US

IV. Provider business mailing address

189 HOSPITAL DR
SPRUCE PINE NC
28777-3035
US

V. Phone/Fax

Practice location:
  • Phone: 828-766-3555
  • Fax:
Mailing address:
  • Phone: 254-313-4765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2026-03986
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: