Provider Demographics
NPI:1588843288
Name:HOLLEY, ARIANA CITABRIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIANA
Middle Name:CITABRIA
Last Name:HOLLEY
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:501 20TH ST
Mailing Address - Street 2:SUITE G-3
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-1809
Mailing Address - Country:US
Mailing Address - Phone:865-522-7591
Mailing Address - Fax:865-525-9662
Practice Address - Street 1:501 19TH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1854
Practice Address - Country:US
Practice Address - Phone:865-522-7591
Practice Address - Fax:865-525-9662
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2011-00387207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1532028Medicaid
NC5917627Medicaid
NCNC1742AMedicare PIN
TN103I220701Medicare PIN