Individual
DR. JOHN DOUGLAS GEERDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D'MIN./LMFT
Contact information
Practice address
19 CHURCH ST, STATESBORO, GA 30458-5385
(912) 489-7590
(912) 489-7590
Mailing address
19 CHURCH ST, STATESBORO, GA 30458-5385
(912) 489-7590
(912) 489-7590
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000892
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01359450
AMERIGROUP
GA
05
—
348418841A
—
GA
01
—
690643
WELLCARE
GA
Enumeration date
10/25/2007
Last updated
06/19/2013
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