Provider Demographics
NPI:1215175559
Name:THE CENTER FOR HEALTH AND RESTORATION, INC.
Entity type:Organization
Organization Name:THE CENTER FOR HEALTH AND RESTORATION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERIANNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:GESZLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-988-7866
Mailing Address - Street 1:PO BOX 87905
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-7905
Mailing Address - Country:US
Mailing Address - Phone:910-988-7866
Mailing Address - Fax:919-869-2141
Practice Address - Street 1:200 FORSYTHE ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5426
Practice Address - Country:US
Practice Address - Phone:910-988-7866
Practice Address - Fax:919-869-2141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-23
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30552207VG0400X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty