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Individual

SAMANTHA DANYELL HOLCOMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RT (R), RDMS

Contact information

Practice address
1060 PEERLESS XING NW STE 200, CLEVELAND, TN 37312-3785
(423) 380-6155
Mailing address
580 WILLOW CREEK CV NE, CLEVELAND, TN 37323-4204
(423) 290-0473

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
533831
TN
2085U0001X
Diagnostic Ultrasound Physician
Primary
194568
TN

Other

Enumeration date
03/02/2022
Last updated
03/02/2022
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