Individual
DR. HARLEY STEVEN GELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2372
(704) 355-6692
Mailing address
PO BOX 36351, CHARLOTTE, NC 28236-6351
(704) 377-5772
(704) 377-3389
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
52094
KY
207L00000X
Anesthesiology Physician
Primary
9701366
NC
207L00000X
Anesthesiology Physician
TP044
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021110
—
IN
05
—
7100576990
—
KY
05
—
891097N
—
NC
01
—
K273320-KOHMG
KY MEDICARE
KY
01
—
N01336
MEDICAID
SC
Enumeration date
10/10/2005
Last updated
02/26/2019
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