National Provider Identifier Database

PAUL C HOLT, PNP – NPI #1558871608
Pediatrics


Contact Information

PAUL C HOLT, PNP
414 GREENBELT DR
MARYVILLE, TN37804-5702
Phone: 865-982-0032
Fax: 865-983-4172
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X

* Indicates primary specialty

NPI Profile & details for PAUL C HOLT

NPI Number 1558871608
Credentials PNP
Entity Individual
Enumeration date 10/03/2017
Last updated 03/18/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • TN License #: 22996
  • TN Medicaid: Q048652
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PAUL C HOLT, PNP

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