Provider Demographics
NPI:1437120417
Name:GEISE, JOHN SMITH (PA)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:SMITH
Last Name:GEISE
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:5612 WHITESVILLE RD STE A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-9031
Mailing Address - Country:US
Mailing Address - Phone:706-322-2223
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 690 MCCORNACK RD
Practice Address - Street 2:
Practice Address - City:SCHOFIELD BARRACKS
Practice Address - State:HI
Practice Address - Zip Code:96857
Practice Address - Country:US
Practice Address - Phone:808-433-8225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2019-08-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical