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Steven Henry Pack, PA

Physician Assistant in Lebanon, TN. Individual provider (NPI-1).

NPI number1346351194
StatusActive
Last updated in NPPESJun 30, 2026

Details

NPI
1346351194
Entity type
Individual (NPI-1)
Name
Mr. Steven Henry Pack
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 31, 2006
Certification date
Jun 30, 2026
Last updated
Jun 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA626TNYes

Practice location

201 Signature Pl Ste 103
Lebanon, TN 37087-3377

Phone 615-257-7778 · Fax 615-235-3660

Mailing address

201 Signature Pl Ste 103
Lebanon, TN 37087-3377

Phone 615-257-7778 · Fax 615-235-3660

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