Healthcare Provider Details

I. General information

NPI: 1265497788
Provider Name (Legal Business Name): SHANNAH LEA STEEL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6312 HIGHWAY 41A SUITE #108
PLEASANT VIEW TN
37146-8221
US

IV. Provider business mailing address

6312 HIGHWAY 41A SUITE #108
PLEASANT VIEW TN
37146-8221
US

V. Phone/Fax

Practice location:
  • Phone: 615-746-6091
  • Fax: 615-746-6095
Mailing address:
  • Phone: 615-746-6091
  • Fax: 615-746-6096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1894
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: