Basic Information
| Provider Information | |||||||||
| NPI: | 1679670756 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PRESLEY | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | D. | ||||||||
| NamePrefix: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1527 PROFESSIONAL PKWY | ||||||||
| Address2: | |||||||||
| City: | AUBURN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 368302858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3347076776 | ||||||||
| FaxNumber: | 2057155928 | ||||||||
| Practice Location | |||||||||
| Address1: | 1527 PROFESSIONAL PKWY | ||||||||
| Address2: | |||||||||
| City: | AUBURN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 368302858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3347076776 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 11/23/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 11/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 20072 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 009926345 | 05 | AL | MEDICAID | 009926335 | 05 | AL | MEDICAID | 009926355 | 05 | AL | MEDICAID | 009926365 | 05 | AL | MEDICAID |