Provider Demographics
NPI:1093142275
Name:GEYER, AARON D (PA-C)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:D
Last Name:GEYER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:AARON
Other - Middle Name:D
Other - Last Name:GEYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:420 POLIFKA DRIVE
Mailing Address - Street 2:BLDG 1042
Mailing Address - City:SHAW AFB
Mailing Address - State:SC
Mailing Address - Zip Code:29152
Mailing Address - Country:US
Mailing Address - Phone:803-895-6778
Mailing Address - Fax:
Practice Address - Street 1:420 POLIFKA DRIVE
Practice Address - Street 2:BLDG 1042
Practice Address - City:SHAW AFB
Practice Address - State:SC
Practice Address - Zip Code:29152
Practice Address - Country:US
Practice Address - Phone:803-895-6778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant