Provider Demographics
NPI:1942350616
Name:STEELE, JOHN C II (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:STEELE
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 ALSTON CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7326
Mailing Address - Country:US
Mailing Address - Phone:803-466-6845
Mailing Address - Fax:
Practice Address - Street 1:160 MEDICAL CIRCLE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169
Practice Address - Country:US
Practice Address - Phone:803-796-6811
Practice Address - Fax:803-796-6851
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC253472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC582296052001OtherPHR BCBS GROUP
SC400186Medicaid
SC582296052001OtherPHR BCBS GROUP