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Individual

STEVEN RAY MEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1080 N ELLINGTON PKWY, LEWISBURG, TN 37091-2227
(931) 270-3633
(931) 359-9522
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401-4659
(931) 270-3633
(931) 359-9522

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18423
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3710089
TN
Enumeration date
02/24/2014
Last updated
03/07/2017
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