Provider Demographics
NPI:1023793452
Name:MCCOMAS, HOLLY MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:MARIE
Last Name:MCCOMAS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 MURPHY AVE STE 603
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2176
Mailing Address - Country:US
Mailing Address - Phone:615-329-2520
Mailing Address - Fax:615-329-3530
Practice Address - Street 1:2011 MURPHY AVE STE 603
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2176
Practice Address - Country:US
Practice Address - Phone:615-329-2520
Practice Address - Fax:615-329-3530
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6240363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty