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NPI Code Detail

MEDICARE: MR. JOHN SMITH GEISE PA

MEDICARE:  MR. JOHN SMITH GEISE  PA
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
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1437120417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN SMITH GEISE PA
Provider Business Mailing Address
First Line : 6600 VAN AALST BLVD
Second Line :
City : FORT BENNING
State : GA
Zip : 31905-2102
Country : US
Telephone Number : 706-511-2581
Fax Number :
Provider Business Practice Location Address
First Line : 8830 WATKINS AVE
Second Line :
City : FORT BENNING
State : GA
Zip : 31905-5529
Country : US
Telephone Number : 706-544-0174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 01/02/2026

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Directions to “ MR. JOHN SMITH GEISE PA” Practice Location

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