Provider Demographics
NPI:1508311077
Name:STEELE, CHERI LEIGH
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:LEIGH
Last Name:STEELE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4134 COUNTY ROAD 2
Mailing Address - Street 2:
Mailing Address - City:DOUBLE SPRINGS
Mailing Address - State:AL
Mailing Address - Zip Code:35553-4608
Mailing Address - Country:US
Mailing Address - Phone:205-489-2830
Mailing Address - Fax:
Practice Address - Street 1:26241 HIGHWAY 195
Practice Address - Street 2:
Practice Address - City:DOUBLE SPRINGS
Practice Address - State:AL
Practice Address - Zip Code:35553
Practice Address - Country:US
Practice Address - Phone:205-489-2830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-24
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies