Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD36644 | TN |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MD36644 | TN |
NPI | 1790850600 |
---|---|
Provider Name | Ginger E Holt |
First Address | Nashville, TN 37232-8774 |
Second Address | Nashville, TN 37232-5100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2006 |
Last Update Date | 17/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BH7988465 | DEA (01) | TN |
H72046 | (02) | TN |