Basic Information
Provider Information
NPI: 1710167424
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINBERGER
FirstName: PAUL
MiddleName: JOSEPH
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 707 PINE ST
Address2:  
City: MACON
State: GA
PostalCode: 312012106
CountryCode: US
TelephoneNumber: 4783015820
FaxNumber: 4783015825
Practice Location
Address1: 401 MATTHEW ST
Address2:  
City: MARIETTA
State: OH
PostalCode: 457501635
CountryCode: US
TelephoneNumber: 7403747700
FaxNumber: 7403747701
Other Information
ProviderEnumerationDate: 11/09/2007
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X002463GAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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