Provider Demographics
NPI:1407951049
Name:STEELE, BETTI JO (MD)
Entity Type:Individual
Prefix:DR
First Name:BETTI
Middle Name:JO
Last Name:STEELE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9335 PRESTWICK CLUB DR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-2470
Mailing Address - Country:US
Mailing Address - Phone:770-840-0399
Mailing Address - Fax:
Practice Address - Street 1:1247 DONALD LEE HOLLOWELL PKWY NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-6657
Practice Address - Country:US
Practice Address - Phone:404-616-2265
Practice Address - Fax:404-881-0622
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA028654208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
BS 5389956OtherDEA #
BS 5389956OtherDEA #