Healthcare Provider Details

I. General information

NPI: 1407065675
Provider Name (Legal Business Name): ERIN T STEIDL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 HIGHWAY 70 E SUITE H
DICKSON TN
37055-2080
US

IV. Provider business mailing address

111 HIGHWAY 70 E SUITE H
DICKSON TN
37055-2080
US

V. Phone/Fax

Practice location:
  • Phone: 615-446-4400
  • Fax: 615-446-4234
Mailing address:
  • Phone: 615-446-4400
  • Fax: 615-446-4234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VH0002X
TaxonomyHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
License NumberBP1-0016939
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2377
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: