Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 72545 | GA |
N | 207T00000X | Neurosurgeon | MD00048961 | WA |
NPI | 1003974338 |
---|---|
Provider Name | Dr. Dennis James Geyer |
First Address | Thomasville, GA 31792-6107 |
Second Address | Thomasville, GA 31792-6107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 16/07/2014 |