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NPI Code Detail

MEDICARE: FREDRICK DAVID STEESE

MEDICARE:   FREDRICK DAVID STEESE
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH15977GA

General Provider Information

NPI Number : 1821629643
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDRICK DAVID STEESE
Provider Business Mailing Address
First Line : 408 BENJAMIN GNANN RD
Second Line :
City : SPRINGFIELD
State : GA
Zip : 31329-5325
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 461 S COLUMBIA AVE
Second Line :
City : RINCON
State : GA
Zip : 31326-9446
Country : US
Telephone Number : 912-826-7665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2020
Last Update Date : 01/30/2020

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Directions to “ FREDRICK DAVID STEESE ” Practice Location

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