MEDICARE: THE STEEL MILL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1679873863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE STEEL MILL INC

Provider Business Mailing Address
First Line	:	2511 LANTRAC CT
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30035-4006
Country	:	US
Telephone Number	:	770-593-8033
Fax Number	:

Provider Business Practice Location Address
First Line	:	2511 LANTRAC CT
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30035-4006
Country	:	US
Telephone Number	:	770-593-8033
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KIMBERLY LOCKHART
Credential	:
Telephone Number	:	770-593-8033

Provider Enumeration Date	:	10/22/2010
Last Update Date	:	10/22/2010

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Directions to “THE STEEL MILL INC ” Practice Location

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