Healthcare Provider Details

I. General information

NPI: 1457306292
Provider Name (Legal Business Name): MEGHAN ONDO GEILS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

776 DANIEL ELLIS DR BLDG 2 STE A
CHARLESTON SC
29412-3094
US

IV. Provider business mailing address

776 DANIEL ELLIS DR BLDG 2 STE A
CHARLESTON SC
29412-3094
US

V. Phone/Fax

Practice location:
  • Phone: 843-795-8100
  • Fax: 843-573-2534
Mailing address:
  • Phone: 843-795-8100
  • Fax: 843-573-2534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19333
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: