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NPI Code Detail

MEDICARE: HOLLY MARIE MCCOMAS PA-C

MEDICARE: HOLLY MARIE MCCOMAS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant6240TN

General Provider Information

NPI Number : 1023793452
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY MARIE MCCOMAS PA-C
Provider Business Mailing Address
First Line : 2011 MURPHY AVE STE 603
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2176
Country : US
Telephone Number : 615-329-2520
Fax Number : 615-329-3530
Provider Business Practice Location Address
First Line : 2011 MURPHY AVE STE 603
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2176
Country : US
Telephone Number : 615-329-2520
Fax Number : 615-329-3530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2023
Last Update Date : 05/27/2025

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Directions to “ HOLLY MARIE MCCOMAS PA-C” Practice Location

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