Provider Demographics
NPI:1366025652
Name:GERALDS CAPITAL LLC
Entity type:Organization
Organization Name:GERALDS CAPITAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GERALDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-573-7378
Mailing Address - Street 1:340 WILDWOOD LAKE CT
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-3230
Mailing Address - Country:US
Mailing Address - Phone:225-960-7419
Mailing Address - Fax:225-960-7421
Practice Address - Street 1:2576 LAWRENCEVILLE SUWANEE RD
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-7290
Practice Address - Country:US
Practice Address - Phone:678-731-7727
Practice Address - Fax:678-731-7741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty