Healthcare Provider Details

I. General information

NPI: 1851398077
Provider Name (Legal Business Name): FRANK CLARKE HOLMES IV MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 23RD AVE N SUITE 301
NASHVILLE TN
37203-1513
US

IV. Provider business mailing address

2986 POLO CLUB RD
NASHVILLE TN
37221-4385
US

V. Phone/Fax

Practice location:
  • Phone: 615-329-2520
  • Fax: 615-329-3530
Mailing address:
  • Phone: 615-522-4630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number17920
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberMD035836
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number36919
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: