Healthcare Provider Details

I. General information

NPI: 1790850600
Provider Name (Legal Business Name): GINGER E HOLT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PATTERSON ST STE 123
NASHVILLE TN
37203-1540
US

IV. Provider business mailing address

2400 PATTERSON ST STE 123
NASHVILLE TN
37203-1540
US

V. Phone/Fax

Practice location:
  • Phone: 615-454-6064
  • Fax: 615-454-6065
Mailing address:
  • Phone: 615-454-6064
  • Fax: 615-454-6065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberMD36644
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD36644
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: