Healthcare Provider Details

I. General information

NPI: 1336673102
Provider Name (Legal Business Name): ROBERT RANDAL GEIER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 DOWELL SPRINGS BLVD STE 300
KNOXVILLE TN
37909-2444
US

IV. Provider business mailing address

1450 DOWELL SPRINGS BLVD STE 300
KNOXVILLE TN
37909-2444
US

V. Phone/Fax

Practice location:
  • Phone: 656-378-8128
  • Fax:
Mailing address:
  • Phone: 865-637-8812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number4716
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: