Organization
STEVEN T. GREENHAW MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN T GREENHAW MD (OWNER)
(229) 245-7070
Entity
Organization
Contact information
Practice address
2704 N OAK ST BLDG G, VALDOSTA, GA 31602-1767
(229) 245-7070
(229) 245-9005
Mailing address
PO BOX 3910, VALDOSTA, GA 31604-3910
(229) 245-7070
(229) 245-9005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
035427
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00494557B
—
GA
01
—
1568449981
NPI INDIVIDUAL
GA
Enumeration date
02/26/2007
Last updated
09/30/2010
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