Provider Demographics
NPI:1073618229
Name:GEIER, KATHARINE MAXINE (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:MAXINE
Last Name:GEIER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2453 N DECATUR RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6101
Mailing Address - Country:US
Mailing Address - Phone:404-325-4425
Mailing Address - Fax:404-325-4426
Practice Address - Street 1:2453 N DECATUR RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6101
Practice Address - Country:US
Practice Address - Phone:404-325-4425
Practice Address - Fax:404-325-4426
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3100111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00571007AMedicaid
GA35ZCBTTMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
GAU21313Medicare UPIN