Basic Information
Provider Information
NPI: 1780900043
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINDSEY
FirstName: STEVEN
MiddleName: MICHAEL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1338 DEKALB AVE NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303072027
CountryCode: US
TelephoneNumber: 9137060232
FaxNumber:  
Practice Location
Address1: 80 JESSE HILL JR DR SE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303033031
CountryCode: US
TelephoneNumber: 4046161000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/12/2010
LastUpdateDate: 04/23/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X69065GAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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