Individual
MR. DAVID WAYNE HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1005 E BROADWAY, LENOIR CITY, TN 37771
(865) 988-9004
(865) 988-0042
Mailing address
1005 E BROADWAY, LENOIR CITY, TN 37771
(865) 988-9004
(865) 988-0042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1520
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3128665
BCBS
TN
05
—
3187030
—
TN
01
—
4308504
CIGNA
—
01
—
7695120
AETNA
TN
Enumeration date
01/18/2007
Last updated
07/08/2007
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