Provider Demographics
NPI:1023430824
Name:STEEL FAMILY MEDICINE
Entity type:Organization
Organization Name:STEEL FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:615-746-6091
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:615-746-6095
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDO1894207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ003482Medicaid