Provider Demographics
NPI:1003184409
Name:GREER GADSDEN LARNED, M.D., P.C., FAAP
Entity Type:Organization
Organization Name:GREER GADSDEN LARNED, M.D., P.C., FAAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREER
Authorized Official - Middle Name:GADSDEN
Authorized Official - Last Name:LARNED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-352-3845
Mailing Address - Street 1:3802 WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6210
Mailing Address - Country:US
Mailing Address - Phone:912-352-3845
Mailing Address - Fax:912-354-1980
Practice Address - Street 1:3802 WATERS AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6210
Practice Address - Country:US
Practice Address - Phone:912-352-3845
Practice Address - Fax:912-354-1980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0290202080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000341327BMedicaid
GAB36899Medicare UPIN