Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 12189 | TN |
N | 207RG0300X | Geriatric Medicine | 0101254986 | VA |
N | 207RG0300X | Geriatric Medicine | 010256520A | IN |
N | 207RG0300X | Geriatric Medicine | 12189 | TN |
N | 208000000X | Pediatrician | 12189 | TN |
NPI | 1972653152 |
---|---|
Provider Name | Schuyler Keith Geller |
First Address | Treadway, TN 37881-2026 |
Second Address | Johnson City, TN 37604-6527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 12/10/2021 |