Provider Demographics
NPI:1003916669
Name:REISSMAN, STEVEN ELIOT (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ELIOT
Last Name:REISSMAN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:7950 MARTIN LOOP
Mailing Address - Street 2:ADULT PRIMARY CARE CLINIC
Mailing Address - City:FORT BENNING
Mailing Address - State:GA
Mailing Address - Zip Code:31905-5647
Mailing Address - Country:US
Mailing Address - Phone:706-544-3218
Mailing Address - Fax:706-544-3601
Practice Address - Street 1:7950 MARTIN LOOP
Practice Address - Street 2:ADULT PRIMARY CARE CLINIC
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905-5647
Practice Address - Country:US
Practice Address - Phone:706-544-3218
Practice Address - Fax:706-544-3601
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2010-01-20
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Provider Licenses
StateLicense IDTaxonomies
GA27110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine