Provider Demographics
NPI:1093773657
Name:GEILS, GEORGE FREDERICK JR (MD)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:FREDERICK
Last Name:GEILS
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:PO BOX 751874
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1874
Mailing Address - Country:US
Mailing Address - Phone:843-402-5200
Mailing Address - Fax:
Practice Address - Street 1:2085 HENRY TECKLENBURG DR
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-7710
Practice Address - Country:US
Practice Address - Phone:843-577-6957
Practice Address - Fax:843-577-6523
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2022-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18925207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT25700Medicaid
SCP00357883OtherRAILROAD MEDICARE
SCF615578603Medicare PIN
SCP00357883OtherRAILROAD MEDICARE
SC5880910001Medicare NSC