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Individual

STEPHEN KEITH HOLLISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
345 23RD AVE N STE 300, NASHVILLE, TN 37203-1513
(615) 342-5740
(615) 342-5742
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11015974
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11015974
INDIANA PROFESSIONAL LICENSING AGENCY
IN
01
55293
TN BOARD OF MEDICAL EXAMINERS
TN
Enumeration date
06/08/2011
Last updated
04/21/2026
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