Individual
DR. STEVEN W SIEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 WOODLAND RD, MONROE, GA 30655-2021
(770) 267-3918
Mailing address
PO BOX 551, MONROE, GA 30655-0551
(770) 267-3918
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25671
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D30830
UPIN
GA
Enumeration date
11/26/2014
Last updated
11/26/2014
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