Individual
PAUL CHASE HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
414 GREENBELT DR, MARYVILLE, TN 37804-5702
(865) 982-0032
(865) 983-4172
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22996
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q048652
—
TN
Enumeration date
10/03/2017
Last updated
03/18/2020
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