Provider Demographics
NPI:1790850600
Name:HOLT, GINGER E (MD)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:E
Last Name:HOLT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 PATTERSON ST STE 123
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1540
Mailing Address - Country:US
Mailing Address - Phone:615-454-6064
Mailing Address - Fax:615-454-6065
Practice Address - Street 1:2400 PATTERSON ST STE 123
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1540
Practice Address - Country:US
Practice Address - Phone:615-454-6064
Practice Address - Fax:615-454-6065
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD36644207XP3100X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNBH7988465OtherDEA
TNH72046Medicare UPIN