Individual
DR. STEVEN TODD SHEEDLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
657 E BROADWAY BLVD, STE. C, JEFFERSON CITY, TN 37760
(865) 475-9062
(865) 475-9063
Mailing address
657 E BROADWAY BLVD, STE. C, JEFFERSON CITY, TN 37760-4906
(865) 475-9062
(865) 475-9063
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
42424
TN
207Q00000X
Family Medicine Physician
Primary
42424
TN
208M00000X
Hospitalist Physician
42424
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000565
—
TN
Enumeration date
01/23/2007
Last updated
06/12/2018
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