Provider Demographics
NPI:1114179736
Name:STEERE, ERIC LYNNE (PT, MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:LYNNE
Last Name:STEERE
Suffix:
Gender:M
Credentials:PT, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1669 PHOENIX PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-5464
Mailing Address - Country:US
Mailing Address - Phone:770-907-1023
Mailing Address - Fax:770-907-5608
Practice Address - Street 1:1669 PHOENIX PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-5464
Practice Address - Country:US
Practice Address - Phone:770-907-1023
Practice Address - Fax:770-907-5608
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9399225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist