Individual
JOE S HOLT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1771 MADISON ST, CLARKSVILLE, TN 37043-4990
(931) 551-1795
(931) 551-1798
Mailing address
1731 MEMORIAL DR, SUITE 108, CLARKSVILLE, TN 37043-4523
(931) 551-1795
(931) 551-1798
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DS0000001574
TN
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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