Individual
TYLER HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
827 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5001
(865) 984-0900
(865) 984-1035
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2771
TN
363AS0400X
Surgical Physician Assistant
2771
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6047756
BLUECROSS BLUESHIELD
TN
05
—
Q019368
—
TN
Enumeration date
06/18/2015
Last updated
01/14/2026
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