Provider Demographics
NPI:1053663310
Name:H DOUGLAS HOLLIDAY MD PLLC
Entity type:Organization
Organization Name:H DOUGLAS HOLLIDAY MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:HOLLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-584-9914
Mailing Address - Street 1:2912 POLO CLUB RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4343
Mailing Address - Country:US
Mailing Address - Phone:615-584-9914
Mailing Address - Fax:615-222-1245
Practice Address - Street 1:4230 HARDING PIKE
Practice Address - Street 2:SUITE 530
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-222-1241
Practice Address - Fax:615-222-1245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10586207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty