Provider Demographics
NPI:1245700400
Name:GEETER, PIERRE GIRARD
Entity type:Individual
Prefix:
First Name:PIERRE
Middle Name:GIRARD
Last Name:GEETER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1561 FAIRBURN RD SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2223
Mailing Address - Country:US
Mailing Address - Phone:678-895-4799
Mailing Address - Fax:
Practice Address - Street 1:1561 FAIRBURN RD SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-2223
Practice Address - Country:US
Practice Address - Phone:678-895-4799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health