Individual
DR. WILLIAM TERRY HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
657 SKYLINE DR, SUITE A, JACKSON, TN 38301-3903
(731) 427-5581
(731) 427-8257
Mailing address
657 SKYLINE DR, SUITE A, JACKSON, TN 38301-3903
(731) 427-5581
(731) 427-8257
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
213
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004174
BLUE CROSS BLUE SHIELD
TN
05
—
3350858
—
TN
01
—
4596543
AETNA
TN
Enumeration date
06/15/2006
Last updated
12/20/2010
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