National Provider Identifier Database

GERIDOC LLC
Geriatric Medicine

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 home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

GERIDOC LLC
4431 MONTIBELLO DR
CHARLOTTE, NC28226-7420
Phone: 704-564-9030
Fax:
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for GERIDOC LLC

NPI Number 1790812840
Legal business name
LBN
GERIDOC LLC
Authorized official ALBERT FORD - (DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 02/27/2007
Last updated 06/30/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 930069
  • NC Medicaid: 5909094
  • NC Other: 32996 BCBS

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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