Individual
DR. DEANNE N GEURKINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11134 BROAD RIVER RD, SUITE D, IRMO, SC 29063-7616
(803) 732-0920
(803) 732-0920
Mailing address
11134 BROAD RIVER RD, SUITE D, IRMO, SC 29063-7616
(803) 732-0920
(803) 732-0920
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
19500
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195005
—
SC
05
—
GP5337
—
SC
Enumeration date
08/10/2006
Last updated
06/22/2012
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