Provider Demographics
NPI:1679512545
Name:GEIST, ROBERT MILLER IV (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MILLER
Last Name:GEIST
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:187 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-4189
Mailing Address - Country:US
Mailing Address - Phone:828-884-9362
Mailing Address - Fax:828-884-3851
Practice Address - Street 1:187 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-4189
Practice Address - Country:US
Practice Address - Phone:828-884-9362
Practice Address - Fax:828-884-3851
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2007-00854207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program