Geridoc Llc in Charlotte - Geriatric Medicine

Geridoc Llc - NPI 1790812840

Geridoc Llc is a Geriatric Medicine in Charlotte, North Carolina. Geridoc Llc practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Geridoc Llc is 1790812840. The last update date is 2008-06-30.

Geridoc Llc's current location address is 4431 Montibello Dr, Charlotte, North Carolina. You can contact this provider via phone number 7045649030. The mailing address for Geridoc Llc is 4431 Montibello Dr, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Geridoc Llc
Address 4431 Montibello Dr, Charlotte, North Carolina
Phone Number 7045649030
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Ford Shederick Albert
Credentials M.D.
Telephone Number 7045649030

NPI Number Detail

NPI Number 1790812840
Provider Enumeration Date 2007-02-27
Last Updated Date 2008-06-30

Provider Mailing Address Detail

Address 4431 Montibello Dr
City Charlotte
State North Carolina (NC)
Post Code 282267420
Phone Number 7045649030
Fax Number

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Licence No 930069
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32996 NC BCBS
5909094 NC --

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FAQs about Geridoc Llc

What is the unique 10-digit identifier code assigned to Geridoc Llc by the Centers for Medicare & Medicaid Services?

The Geridoc Llc has been issued the NPI (National Provider Identifier) 1790812840 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Geridoc Llc is located?

The Geridoc Llc is situated at the following address: 4431 Montibello Dr, Charlotte, NC, 282267420.

What is Geridoc Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Geridoc Llc's area of specialization is Geriatric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qg0300X.

When did Geridoc Llc receive its 1790812840 assignment?

The Geridoc Llc was assigned its 1790812840 on 2007-02-27, which is the date when this unique identifier was issued to the organization.

When was the information regarding Geridoc Llc most recently updated?

The details pertaining to the Geridoc Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-06-30.

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