Individual
DR. JOSEPH EUGENE HOLLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9721 COGDILL RD STE 302, KNOXVILLE, TN 37932-3425
(865) 888-5131
Mailing address
170 HICKORY LAKE DR, EADS, TN 38028-3068
(901) 493-5374
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11045
MS
207P00000X
Emergency Medicine Physician
19758
TN
208D00000X
General Practice Physician
019758
TN
208D00000X
General Practice Physician
Primary
11045
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017398
—
MS
05
—
154941002
—
AR
05
—
3046356
—
TN
01
—
4081932
BLUE CROSS
TN
Enumeration date
06/08/2006
Last updated
11/12/2024
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