Doctor Name: | ERIC DEAN GEARHART |
NPI Number: | 1063491025 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 1053609 |
Business Practice Address: | 10a Marshellen Dr Beaufort, SC - 299026900 |
Business Phone Number: | 8435259015 |
Business Fax Number: | 8435259020 |
Mailing Address: | Po Box 6216a, 1 Pinckney Blvd Naval Hospital Beaufort Attn Profession BEAUFORT |
State: | SC |
Postal Code: | 299026148 |
Phone Number: | 8432285577 |
Fax Number: | 8432285196 |
NPI Enumeration Date: | 01/10/2006 |
NPI Last Update Date: | 10/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1053609 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |