Provider Demographics
NPI:1700911674
Name:W.T. GEARY JR., M.D.
Entity type:Organization
Organization Name:W.T. GEARY JR., M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FARANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-395-5372
Mailing Address - Street 1:3115 BOXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-1103
Mailing Address - Country:US
Mailing Address - Phone:334-395-5372
Mailing Address - Fax:334-395-5343
Practice Address - Street 1:3115 BOXWOOD DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-1103
Practice Address - Country:US
Practice Address - Phone:334-395-5372
Practice Address - Fax:334-395-5343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALJ298Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER