John Hammond Geis IV, PA-C
Physician Assistant in Wilmington, NC. Individual provider (NPI-1).
NPI number1629638457
StatusActive
Last updated in NPPESJun 14, 2019
Details
- NPI
- 1629638457
- Entity type
- Individual (NPI-1)
- Name
- John Hammond Geis IV
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2019
- Last updated
- Jun 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1025 Medical Center DrWilmington, NC 28401-7354
Phone 910-762-3882
Mailing address
1025 Medical Center DrWilmington, NC 28401-7354
Phone 910-762-3882
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