MEDICARE: DR. DAVID T HOLMES MD

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	2084P0800X	Psychiatry Physician	46058	TN

General Provider Information

NPI Number	:	1427033448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID T HOLMES MD

Provider Business Mailing Address
First Line	:	2120 N JACKSON ST
Second Line	:
City	:	TULLAHOMA
State	:	TN
Zip	:	37388-2208
Country	:	US
Telephone Number	:	931-455-2616
Fax Number	:	931-455-2280

Provider Business Practice Location Address
First Line	:	2120 N JACKSON ST
Second Line	:
City	:	TULLAHOMA
State	:	TN
Zip	:	37388-2208
Country	:	US
Telephone Number	:	931-455-2616
Fax Number	:	931-455-2280

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	04/16/2026

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