Individual
DR. DEANN RICHELE HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2018 W CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8695
Mailing address
2018 W CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8695
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34490
TN
208000000X
Pediatrics Physician
Primary
MD34490
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD34490
TN
208M00000X
Hospitalist Physician
34490
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3899326
—
TN
01
—
4013997
BLUE CROSS
TN
05
—
64037153
—
KY
Enumeration date
06/18/2006
Last updated
08/19/2015
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