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NPI Code Detail

MEDICARE: MRS. CHASITY DANIEL GEIGER PA-C

MEDICARE: MRS. CHASITY DANIEL GEIGER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5312GA

General Provider Information

NPI Number : 1013181718
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHASITY DANIEL GEIGER PA-C
Provider Business Mailing Address
First Line : 3008 E PARK AVE
Second Line :
City : BRUNSWICK
State : GA
Zip : 31520-4241
Country : US
Telephone Number : 912-265-2142
Fax Number : 912-265-0530
Provider Business Practice Location Address
First Line : 3008 E PARK AVE
Second Line :
City : BRUNSWICK
State : GA
Zip : 31520-4241
Country : US
Telephone Number : 912-265-2142
Fax Number : 912-265-0530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2008
Last Update Date : 07/08/2010

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