Healthcare Provider Details

I. General information

NPI: 1750435517
Provider Name (Legal Business Name): MICHAEL N STEINBOOK, M.D.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 10/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 20TH ST
COLUMBUS GA
31901-1643
US

IV. Provider business mailing address

1117 20TH ST
COLUMBUS GA
31901-1643
US

V. Phone/Fax

Practice location:
  • Phone: 706-324-6365
  • Fax: 706-324-7295
Mailing address:
  • Phone: 706-324-6365
  • Fax: 706-324-7295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number026661
License Number StateGA

VIII. Authorized Official

Name: WANDA SCOTT
Title or Position: BUSINESS ADMIN
Credential:
Phone: 706-324-6365