Provider Demographics
NPI:1144426305
Name:HOLLIDAY, HUGH DOUGLAS (MD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:DOUGLAS
Last Name:HOLLIDAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:H
Other - Middle Name:DOUGLAS
Other - Last Name:HOLLIDAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4230 HARDING PIKE
Mailing Address - Street 2:STE 801
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2018
Mailing Address - Country:US
Mailing Address - Phone:615-297-6006
Mailing Address - Fax:615-298-6778
Practice Address - Street 1:4230 HARDING RD
Practice Address - Street 2:STE. 530 HEART INSTITUTE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-297-6006
Practice Address - Fax:615-298-6778
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10586207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00475140OtherRAILROAD MEDICARE
TN4161542OtherBLUE CROSS BLUE SHIELD
TN31704301Medicaid
TN4294542OtherAETNA
TN31704341Medicare PIN
TN31704301Medicare PIN
TN4294542OtherAETNA