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General NPI Number Information
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NPI Number | 1245256130
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Entity Type | Individual
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Provider Name | GEOFFREY ALAN ABELL MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 925 THOMAS ST STE A
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City | STATESVILLE
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State | NC
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Zip | 28677-3484
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Country | US
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Telephone | 704-872-9595
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Fax | 704-872-5851
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Provider Business Mailing Address
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Address Line | 433 HORACE MANN AVE
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City | WINSTON SALEM
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State | NC
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Zip | 27104-3230
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Country | US
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Telephone | 336-407-8867
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2006-01007
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License Number State | NC
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