Individual
MR. GERON E. STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1912 AL HIGHWAY 157, CULLMAN, AL 35058-0609
(256) 737-2000
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-235
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934459
—
AL
01
—
51527565STO
BLUE SHIELD
AL
01
—
970029457
RAILROAD MEDICARE
AL
Enumeration date
06/12/2006
Last updated
06/30/2008
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