Individual
GEETIKA DEMBLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2700 E PHILLIPS RD, GREER, SC 29650-4815
(864) 235-2335
Mailing address
2700 E PHILLIPS RD, GREER, SC 29650-4815
(864) 235-2335
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
204062
LA
208600000X
Surgery Physician
204062
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126857
—
LA
01
—
4P643F600
MEDICACRE - PTAN
LA
Enumeration date
06/14/2007
Last updated
03/22/2018
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