Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 27251 | MS |
N | 207X00000X | Orthopaedic Surgeon | 63238 | TN |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 63238 | TN |
NPI | 1144608118 |
---|---|
Provider Name | Dr. Andrew Michael Holt |
First Address | Knoxville, TN 37922-3355 |
Second Address | Knoxville, TN 37922-3355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2015 |
Last Update Date | 23/07/2021 |