Individual
MARK RUSSELL STEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
254 ROBERT C DANIEL JR PKWY STE 4, AUGUSTA, GA 30909-0812
(706) 723-5795
(706) 723-5831
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014903
GA
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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