CONNIE J HOLLADAY


Address: 438 E. Vann Road, Suite 100, Greeneville, TN 37743-7202
Phone: 4232781700

CONNIE J HOLLADAY (NPI# 1588698518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588698518
Entity Type Individual
Full Name CONNIE J HOLLADAY
Credential M.C.
Practice Address 438 E. Vann Road
Suite 100
Greeneville
TN 37743-7202
Mailing Address Po Box 37087
Baltimore
MD 21297-3807
Practice Telephone 4232781700
Practice Fax Number 4232781712
Mailing Telephone 8286876282
Mailing Fax Number 8286876285
Enumeration Date 2006-07-10
Last Update Date 2010-10-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
MD15684 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 0018811 05
TN BCBS OF TN 4009043 01
TN 1518493 05

Office Location

Street Address 438 E. VANN ROAD
SUITE 100
City GREENEVILLE
State TN
Zip Code 37743-7202

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023412020 State of Tennessee Intermediate Care Facility, Mentally Retarded 2324 Asheville Highway, Greeneville, TN 37743 2014-10-20
1437552536 State of Tennessee Intermediate Care Facility, Mentally Retarded 645 Rambo Road, Greeneville, TN 37743 2014-10-02
1205264058 Robert Maddox Social Worker 421 5th Ave North, Employee Health Clinic, 2nd Floor Central Services Bldg, Nashville, TN 37743 2013-10-14
1336574326 Cathy J Davis Occupational Therapy Assistant 910 West Summer Street, Greeneville, TN 37743 2013-09-09
1659614238 Person Centered Choices, LLC In Home Supportive Care 615 W. Main St., Ste. 204, Greeneville, TN 37743 2013-04-01
1730449943 Jenilee Stepp Behavioral Analyst 1007 West Main Suite B, Greenville, TN 37743 2012-05-22
1083971303 Jessica Allison Mcafee Registered Nurse 401 Takoma Ave., Suite 1, Second Floor, Greeneville, TN 37743 2012-04-12
1780958454 State of Tennessee Intermediate Care Facility, Mentally Retarded 2497 Buckingham Rd., Greeneville, TN 37743 2012-02-28
1629342415 State of Tennessee Intermediate Care Facility, Mentally Retarded 102 Dyer St., Greeneville, TN 37743 2012-02-27
1215200118 State of Tennessee Intermediate Care Facility, Mentally Retarded 2495 Buckingham Road, Greeneville, TN 37743 2012-02-23
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518564863 Matter Health of Alabama LLC Internal Medicine 645 Grassmere Park, Nashville, TN 37211-3659 2020-10-08
1558751339 America's Telemd LLC Internal Medicine 5606 Cloverland Dr, Unit 110, Brentwood, TN 37027-4876 2015-01-30
1437240504 Lorna May Birch Internal Medicine 425 Cumberland Street, Suite 110, Chattanooga, TN 37404 2006-09-27
1386674679 Lotika Pandit Internal Medicine 6073 E Brainerd Rd, Chattanooga, TN 37421-3909 2006-07-03
1992741482 Amisub (sfh) Inc. Internal Medicine 5929 Park Ave, Memphis, TN 38119-5150 2006-06-21
1134162134 Stephen J D'amico Internal Medicine 4200 Murfreesboro Pike, Antioch, TN 37013-2789 2006-06-14
1861430399 Robert M Hollister Internal Medicine 316 Battle Ave, Franklin, TN 37064-3519 2006-06-04
1386698843 Larry Burton Hudgins Internal Medicine 715 Rambling Rd, Johnson City, TN 37604-2425 2006-05-20
1649221938 Purihin Clinic-p. C. Internal Medicine 3535 Chere Carol Rd, Humboldt, TN 38343-3634 2006-05-12
1023097177 Allen Stephen Uhlik Internal Medicine 144 Medical Center Dr, Copperhill, TN 37317-5000 2006-01-16
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Competitor

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City GREENEVILLE
Zip Code 37743

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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