Individual
DR. DAVID T HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2120 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 455-2616
(931) 455-2280
Mailing address
2120 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 455-2616
(931) 455-2280
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01055252A
IN
2084P0800X
Psychiatry Physician
Primary
46058
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216388
IN ANTHEM BCBS
IN
05
—
200361790
—
IN
01
—
880418970
PRACTICE TAX ID
IN
Enumeration date
12/13/2005
Last updated
04/16/2026
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