Provider Demographics
NPI:1306887377
Name:JAMES, W STEEN (MD)
Entity type:Individual
Prefix:
First Name:W
Middle Name:STEEN
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 HIGHWAY 74 N
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1101
Mailing Address - Country:US
Mailing Address - Phone:770-487-1519
Mailing Address - Fax:770-487-1574
Practice Address - Street 1:375 HIGHWAY 74 N
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1101
Practice Address - Country:US
Practice Address - Phone:770-487-1519
Practice Address - Fax:770-487-1574
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA028419208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics