Provider Demographics
NPI:1265497788
Name:STEEL, SHANNAH LEA (DO)
Entity Type:Individual
Prefix:DR
First Name:SHANNAH
Middle Name:LEA
Last Name:STEEL
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:6312 HIGHWAY 41A
Mailing Address - Street 2:SUITE #108
Mailing Address - City:PLEASANT VIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37146-8221
Mailing Address - Country:US
Mailing Address - Phone:615-746-6091
Mailing Address - Fax:615-746-6096
Practice Address - Street 1:6312 HIGHWAY 41A
Practice Address - Street 2:SUITE #108
Practice Address - City:PLEASANT VIEW
Practice Address - State:TN
Practice Address - Zip Code:37146-8221
Practice Address - Country:US
Practice Address - Phone:615-746-6091
Practice Address - Fax:615-746-6095
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2014-11-19
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Provider Licenses
StateLicense IDTaxonomies
TN1894207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1031937286Medicare PIN
TN6041988Medicare UPIN