Provider Demographics
NPI:1952339236
Name:CHILDS, CHRISTINE GEIER (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:GEIER
Last Name:CHILDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:GEIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2181 CHERRYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-9388
Mailing Address - Country:US
Mailing Address - Phone:336-201-3718
Mailing Address - Fax:
Practice Address - Street 1:2990 BETHESDA PL
Practice Address - Street 2:SUITE 602
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3318
Practice Address - Country:US
Practice Address - Phone:336-768-8281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5N442Medicare UPIN