Provider Demographics
NPI:1255407730
Name:STEINBERG, CARL S (DO)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:S
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:300 HOSPITAL ROAD
Mailing Address - Street 2:EISENHOWER ARMY MEDICAL CENTER, CREDENTIALS
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905-5650
Mailing Address - Country:US
Mailing Address - Phone:706-787-4697
Mailing Address - Fax:706-787-6735
Practice Address - Street 1:300 HOSPITAL ROAD
Practice Address - Street 2:EISENHOWER ARMY MEDICAL CENTER, CREDENTIALS
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905-5650
Practice Address - Country:US
Practice Address - Phone:706-787-4697
Practice Address - Fax:706-787-6735
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2013-10-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA027743207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD 000Medicare UPIN