Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101252357 | VA |
N | 111NI0900X | Internist | 0101252357 | VA |
N | 207RC0200X | Critical Care Medicine | 0101252357 | VA |
Y | 207RC0200X | Critical Care Medicine | 078942 | GA |
N | 207RP1001X | Pulmonary Disease | 0101252357 | VA |
NPI | 1043504129 |
---|---|
Provider Name | Dr. Geoffrey Loh |
First Address | Fort Gordon, GA 30905-5741 |
Second Address | Fort Gordon, GA 30905-5741 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2011 |
Last Update Date | 25/01/2022 |