Individual
STEPHEN E PACIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5807
(865) 238-6430
(865) 238-6444
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD53188
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q015220
—
TN
Enumeration date
06/29/2010
Last updated
10/29/2025
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