Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2042 | TN |
N | 111NI0900X | Internist | 2042 | TN |
Y | 207SG0201X | Clinical Genetics (M.D.) | 2042 | TN |
NPI | 1720128259 |
---|---|
Provider Name | Jonathan A. Holt |
First Address | Nashville, TN 37203-1453 |
Second Address | Nashville, TN 37203-1453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 15/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00AX89800 | (05) | CA |
I29029 | (02) |