Doctor Name: | TAMMY HOLCOMB |
NPI Number: | 1891701710 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 148405 |
Business Practice Address: | 625 W Main St Newbern, TN - 380591572 |
Business Phone Number: | 7316270700 |
Business Fax Number: | 7316272200 |
Mailing Address: | 625 W Main St, NEWBERN |
State: | TN |
Postal Code: | 380591572 |
Phone Number: | 7316270700 |
Fax Number: | 7316272200 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 02/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 148405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |