Provider Demographics
NPI:1508814682
Name:STEELY, JOHN HUGH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HUGH
Last Name:STEELY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:881 USS JAMES MADISON RD
Mailing Address - Street 2:NAVAL SUBMARINE BASE KINGS BAY
Mailing Address - City:KINGS BAY
Mailing Address - State:GA
Mailing Address - Zip Code:31547-2531
Mailing Address - Country:US
Mailing Address - Phone:912-573-8801
Mailing Address - Fax:
Practice Address - Street 1:881 USS JAMES MADISON RD
Practice Address - Street 2:NAVAL SUBMARINE BASE KINGS BAY
Practice Address - City:KINGS BAY
Practice Address - State:GA
Practice Address - Zip Code:31547-2531
Practice Address - Country:US
Practice Address - Phone:912-573-8801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL81560207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2328966Medicare ID - Type UnspecifiedPROVIDER ID
NCH33622Medicare UPIN