Provider Demographics
NPI:1437946514
Name:SOLOMON, STEVEN BLAKE (PA-C)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:BLAKE
Last Name:SOLOMON
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:S BLAKE
Other - Middle Name:
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:2778 RIDEOUT LN APT H806
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-5681
Mailing Address - Country:US
Mailing Address - Phone:615-801-6485
Mailing Address - Fax:
Practice Address - Street 1:2778 RIDEOUT LN APT H806
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-5681
Practice Address - Country:US
Practice Address - Phone:615-801-6485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant