Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 12031 | MS |
NPI | 1114036290 |
---|---|
Provider Name | David A Geer |
First Address | Meridian, MS 39302-2839 |
Second Address | Meridian, MS 39301-4111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 29/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00019590 | (05) | MS |
730-13285 | BLUE CROSS OF ALABAMA (01) | AL |
C76362 | (02) |