Provider Demographics
NPI:1013181718
Name:GEIGER, CHASITY DANIEL (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CHASITY
Middle Name:DANIEL
Last Name:GEIGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:CHASITY
Other - Middle Name:JACLYN
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3008 E PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4241
Mailing Address - Country:US
Mailing Address - Phone:912-265-2142
Mailing Address - Fax:912-265-0530
Practice Address - Street 1:3008 E PARK AVE
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4241
Practice Address - Country:US
Practice Address - Phone:912-265-2142
Practice Address - Fax:912-265-0530
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5312363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant