Provider Demographics
NPI:1962954487
Name:TOTAL APPROACH WELLNESS & AESTHETICS
Entity type:Organization
Organization Name:TOTAL APPROACH WELLNESS & AESTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
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:910-485-0700
Mailing Address - Street 1:200 FORSYTHE ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5426
Mailing Address - Country:US
Mailing Address - Phone:910-485-0700
Mailing Address - Fax:910-483-5796
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:910-485-0700
Practice Address - Fax:910-483-5796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30552261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCE29369Medicare UPIN
NCQ19503Medicare UPIN