Individual
MR. STEVEN HENRY PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
706 CADET CT, LEBANON, TN 37087-2649
(615) 449-2472
(615) 449-4709
Mailing address
706 CADET CT, LEBANON, TN 37087-2649
(615) 449-2472
(615) 449-4709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA626
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3662285
—
TN
Enumeration date
08/31/2006
Last updated
01/22/2021
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