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Individual

DR. DAVID CORBETT HOLLIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1203 N EASTMAN RD, KINGSPORT, TN 37664-3145
(423) 247-3321
(423) 247-3631
Mailing address
1203 N EASTMAN RD, KINGSPORT, TN 37664-3145
(423) 247-3321
(423) 247-3631

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2480
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007976624
AETNA
TN
05
010110190
VA
01
208063482
UNITED
TN
05
3945902
TN
01
4142571
BLUE CROSS / BLUE SHIELD
TN
01
8805914
CIGNA
TN
Enumeration date
09/20/2005
Last updated
03/04/2010
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