Healthcare Provider Details

I. General information

NPI: 1609717909
Provider Name (Legal Business Name): STEVEN HARLAN CASE II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2ND FLOOR, MAIN HOSPITAL 300 EAST HOSPITAL ROAD
FORT GORDON GA
30905
US

IV. Provider business mailing address

2ND FLOOR, MAIN HOSPITAL 300 EAST HOSPITAL ROAD
FORT GORDON GA
30905
US

V. Phone/Fax

Practice location:
  • Phone: 706-787-9250
  • Fax:
Mailing address:
  • Phone: 706-787-9358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: