Provider Demographics
NPI:1497782668
Name:GEER, CHARLES CARROLL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:CARROLL
Last Name:GEER
Suffix:
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 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:843-789-1620
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:325 FOLLY RD STE 102B
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-2507
Practice Address - Country:US
Practice Address - Phone:843-762-2323
Practice Address - Fax:843-762-7629
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5694207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC056940Medicaid
SC056940Medicaid
SC111921068OtherRR MEDICARE
SCP00727262OtherRAILROAD MEDICARE ID-RSFPN
SCB920129223Medicare PIN
SC110232031OtherRR MEDICARE
SC056940Medicaid
SCB920126795Medicare PIN
SCP00727262OtherRAILROAD MEDICARE ID-RSFPN
SC1497874424Medicare PIN