Provider Demographics
NPI:1063487601
Name:ABEL-BEY, GEDDIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GEDDIS
Middle Name:
Last Name:ABEL-BEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8603
Mailing Address - Fax:
Practice Address - Street 1:102 MEDICAL PARK CT
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-7537
Practice Address - Country:US
Practice Address - Phone:864-938-0087
Practice Address - Fax:864-938-0229
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC82021207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00927844Medicaid
NYB87832Medicare UPIN