Basic Information
| Provider Information | |||||||||
| NPI: | 1669578829 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STEINBERG | ||||||||
| FirstName: | ANNA | ||||||||
| MiddleName: | W | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 E PONCE DE LEON AVE | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | DECATUR | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300303466 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4043773436 | ||||||||
| FaxNumber: | 4043710019 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 EAST PONCE DELEON AVENUE | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | DECATUR | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4043773436 | ||||||||
| FaxNumber: | 4043710019 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2006 | ||||||||
| LastUpdateDate: | 10/10/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 051556 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.