Provider Demographics
NPI:1194190017
Name:GERITENT ENTERPRISES, INC.
Entity Type:Organization
Organization Name:GERITENT ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:252-245-4821
Mailing Address - Street 1:5722 NC HWY. 58 N.
Mailing Address - Street 2:
Mailing Address - City:ELM CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27822
Mailing Address - Country:US
Mailing Address - Phone:252-245-4821
Mailing Address - Fax:
Practice Address - Street 1:5722 NC HWY. 58 N.
Practice Address - Street 2:
Practice Address - City:ELM CITY
Practice Address - State:NC
Practice Address - Zip Code:27822
Practice Address - Country:US
Practice Address - Phone:252-245-4821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies