Provider Demographics
NPI:1942823059
Name:CONGRESS, STEVEN JEFFREY (PA)
Entity type:Individual
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First Name:STEVEN
Middle Name:JEFFREY
Last Name:CONGRESS
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Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 26194
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-2012
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-381-1509
Practice Address - Street 1:1267 DICK LONAS RD STE 200
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1326
Practice Address - Country:US
Practice Address - Phone:865-909-0744
Practice Address - Fax:833-908-2120
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-22
Last Update Date:2024-08-02
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant