Holladay, Connie J

Holladay, Connie J is an sole proprietor health care provider with primary practice located at 438 E. Vann Road Suite 100, Greeneville TN 37743-7202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Holladay, Connie J can be contacted via phone (423) 278-1700.

Contact Information

Primary practice address
438 E. Vann Road Suite 100 Greeneville TN 37743-7202
Phone: (423) 278-1700
Fax: (423) 278-1712
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD15684 Tennessee

Profile Details

NPI number 1588698518
LBN Legal business name Holladay, Connie J
Credentials M.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Oct 18th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588698518 NPPES
Tennessee MEDICAID 1518493
Tennessee MEDICAID 0018811
Tennessee Other 4009043

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