Individual
DR. DAVID CORBETT HOLLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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