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Contact Information

RANDOLPH L GEARY, MD
MEDICAL CENTER BLVD
WINSTON-SALEM, NC27157-0001
 Phone: 336-716-2255
 Fax: 336-716-6637
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RANDOLPH L GEARY · (Male)

NPI # 1245215300
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2005
Last updated 11/12/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9400504
  • NC Medicaid 7934990
  • SC Medicaid Q0050I
  • VA Medicaid 7302002
  • WV Medicaid 2004904000
  • Other 7803811 AETNA
  • Other 34990 BCBS
  • Other 51716 MEDCOST
  • Other 12524 PARTNERS
Hospital affiliation(s)
  • NORTH CAROLINA BAPTIST HOSPITAL - (Acute Care)
    MEDICAL CENTER BOULEVARD
    WINSTON-SALEM, NC 27157
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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