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Mrs. Maria Elizabeth Holmes

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Maria Elizabeth Holmes
Gender: F
Provider License Number If Given: RN12039

NPI Information:

NPI: 1629062146
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 4/8/2013

Provider Business Mailing Address:

Address: PO BOX 32569
Knoxville, TN 37930
Phone Number: 8656940062
Fax Number: 8656947907

Provider Business Practice Location Address:

Address: 9430 PARK WEST BLVD SUITE 110
Knoxville, TN 37923
Phone Number: 8656948353
Fax Number: 8656930338

Provider Taxonomy:

Primary: 363L00000X
Secondary (if any):
State: TN

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