Provider Demographics
NPI:1457306292
Name:GEILS, MEGHAN ONDO (MD)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ONDO
Last Name:GEILS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:776 DANIEL ELLIS DR
Mailing Address - Street 2:BLDG 2 STE A
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-3094
Mailing Address - Country:US
Mailing Address - Phone:843-795-8100
Mailing Address - Fax:843-573-2534
Practice Address - Street 1:776 DANIEL ELLIS DR
Practice Address - Street 2:BLDG 2 STE A
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-3094
Practice Address - Country:US
Practice Address - Phone:843-795-8100
Practice Address - Fax:843-573-2534
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19333208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP32114Medicaid
SCGP32114Medicaid