Geraldson, Carl Taylor

Geraldson, Carl Taylor is an individual health care provider with primary practice located at 890 W Faris Rd Ste 550 , Greenville SC 29605-4286. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Geraldson, Carl Taylor can be contacted via phone (864) 455-6800.

Contact Information

Primary practice address
890 W Faris Rd Ste 550 Greenville SC 29605-4286
Phone: (864) 455-6800
Fax: (864) 455-6825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 87813 South Carolina

Profile Details

NPI number 1659767671
LBN Legal business name Geraldson, Carl Taylor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2015
Last updated Aug 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659767671 NPPES
South Carolina MEDICAID PENDING

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