Healthcare Provider Details

I. General information

NPI: 1497782668
Provider Name (Legal Business Name): CHARLES CARROLL GEER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 FOLLY RD STE 102B
CHARLESTON SC
29412-2507
US

IV. Provider business mailing address

PO BOX 751649
CHARLOTTE NC
28275-1649
US

V. Phone/Fax

Practice location:
  • Phone: 843-762-2323
  • Fax: 843-762-7629
Mailing address:
  • Phone: 843-789-1620
  • Fax: 843-724-2440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5694
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: