Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | DO0000001010 | TN |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | DO0000001010 | TN |
NPI | 1922099449 |
---|---|
Provider Name | Bert E Geer |
First Address | Cookeville, TN 38501-2495 |
Second Address | Cookeville, TN 38501-2495 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 07/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3303858 | (05) | TN |
F95024 | (02) | TN |