Individual
DR. JARED THOMAS GEIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 HALTON RD STE 200, GREENVILLE, SC 29607-3507
(864) 232-7338
(864) 239-6645
Mailing address
8001 YOUREE DR, SUITE 540, SHREVEPORT, LA 71115-2302
(318) 212-3787
(318) 212-3789
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD.203132
LA
390200000X
Student in an Organized Health Care Education/Training Program
PGY.1.LSUNO-IM
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005584
—
LA
01
—
313508YUYU
MEDICARE PTAN
LA
Enumeration date
08/17/2007
Last updated
04/30/2024
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