Individual
HOLLY DANIELLE MCGAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 JUSTIS DR, GREENEVILLE, TN 37745
(423) 783-7965
Mailing address
1275 DICK LONAS RD, KNOXVILLE, TN 37909-1382
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21085
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598000887
—
VA
05
—
Q020369
—
TN
Enumeration date
11/28/2012
Last updated
11/01/2019
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