Provider Demographics
NPI:1194747154
Name:DOYLE, GEOFFREY (DC)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:
Last Name:DOYLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9630 SHERRILL ESTATES RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-6550
Mailing Address - Country:US
Mailing Address - Phone:704-947-7272
Mailing Address - Fax:704-947-7676
Practice Address - Street 1:9630 SHERRILL ESTATES RD
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6550
Practice Address - Country:US
Practice Address - Phone:704-947-7272
Practice Address - Fax:704-947-7676
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89085THMedicaid
NC2457491AMedicare ID - Type Unspecified