Individual
MR. STEVEN PRIBANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
57 W ADAMS ST, CROSSVILLE, TN 38555-4836
(931) 484-7675
(931) 484-3045
Mailing address
848 LIVINGSTON RD, SUITE 101, PMB #49, CROSSVILLE, TN 38555-6740
(931) 484-7675
(931) 484-3045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD34621
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38586451
MEDICARE
TN
01
—
4231180
BCBS
TN
Enumeration date
08/10/2006
Last updated
04/02/2019
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