Individual provider · Type 1 NPI

Colt Holliman

Student in an Organized Health Care Education/Training Program · Benton, TN

NPI number 1235018375 Active

Practice location

215 School House Hill Rd
Benton, TN 37307-3133

Mailing address

1011 Abutment Rd
Dalton, GA 30721-4680

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Another provider at this address

About NPI 1235018375

Colt Holliman's National Provider Identifier is 1235018375, issued on Sep 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Benton, TN. The record was last updated on Sep 2, 2025.