MEDICARE: COLT HOLLIMAN

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1235018375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLT HOLLIMAN

Provider Business Mailing Address
First Line	:	1011 ABUTMENT RD
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30721-4680
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 SCHOOL HOUSE HILL RD
Second Line	:
City	:	BENTON
State	:	TN
Zip	:	37307-3133
Country	:	US
Telephone Number	:	423-299-0090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

Similar Medicare Providers

1982377941 — OCOEE REGIONAL HEALTH CORPORATION
Practice Location Address:

215 SCHOOL HOUSE HILL RD
BENTON, TN
37307-3133

Practice Phone: 423-338-8995
Practice Fax: 423-338-8996

1487589404 — HOLLY LYNN SWAFFORD
Practice Location Address:

1615 MOUNTAIN VIEW RD
BENTON, TN
37307-4722

Practice Phone: 423-618-6274
Practice Fax:

1255135711 — ROCKLAN BEAVERS M.A.
Practice Location Address:

5840 TN-30
BENTON, TN
37307

Practice Phone: 706-573-4110
Practice Fax:

1225023799 — DR. VICTORIA L KINSEY DO
Practice Location Address:

6784 HIGHWAY 411
BENTON, TN
37307-4818

Practice Phone: 423-472-2273
Practice Fax: 423-472-2737

1780668426 — MRS. PATRICIA ANN PAGAN MD
Practice Location Address:

108 LIFESTYLE WAY
BENTON, TN
37307-3914

Practice Phone: 423-338-7777
Practice Fax: 423-338-9326

1730137035 — DR. SUSAN G FISHER MD
Practice Location Address:

6784 HIGHWAY 411
BENTON, TN
37307-4818

Practice Phone: 423-338-8995
Practice Fax: 423-338-8996

Directions to “ COLT HOLLIMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.