Provider Demographics
NPI:1952376444
Name:HOLLAND, THOMAS HAYES (PA-C)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:HAYES
Last Name:HOLLAND
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3705 PRIEST LAKE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-4611
Mailing Address - Country:US
Mailing Address - Phone:615-361-0655
Mailing Address - Fax:
Practice Address - Street 1:1420 W BADDOUR PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-1510
Practice Address - Country:US
Practice Address - Phone:615-453-3645
Practice Address - Fax:615-453-2675
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN79363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant