Provider Demographics
NPI:1568591832
Name:STEELE, AMI ROBINSON (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:AMI
Middle Name:ROBINSON
Last Name:STEELE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:AMI
Other - Middle Name:MELINDA
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1333 TAYLOR STREET
Mailing Address - Street 2:SUITE 2-B
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-1619
Mailing Address - Country:US
Mailing Address - Phone:803-251-6602
Mailing Address - Fax:803-251-6605
Practice Address - Street 1:1333 TAYLOR STREET
Practice Address - Street 2:SUITE 2-B
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-1619
Practice Address - Country:US
Practice Address - Phone:803-251-6602
Practice Address - Fax:803-251-6605
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003464363AM0700X
SCPA1516363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical