Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 3100 | GA |
NPI | 1073618229 |
---|---|
Provider Name | Dr. Katharine Maxine Geier |
First Address | Decatur, GA 30033-6101 |
Second Address | Decatur, GA 30033-6101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00571007A | (05) | GA |
U21313 | (02) | GA |