Provider Demographics
NPI:1790773786
Name:STEINBERG, SCOTT D (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:D
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1045 SYCAMORE DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1645
Mailing Address - Country:US
Mailing Address - Phone:404-501-7081
Mailing Address - Fax:404-419-1680
Practice Address - Street 1:1045 SYCAMORE DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1645
Practice Address - Country:US
Practice Address - Phone:404-501-7081
Practice Address - Fax:404-419-1680
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2011-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA051770208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA315704078AMedicaid
GA02BDHXLMedicare ID - Type Unspecified
GA315704078AMedicaid