TATUM HOLDER

AEGIS GROUP PRACTICE LLC

Dr TATUM HOLDER is a female medical professional, specializing in Qualified Speech Language Pathologist. She graduated in 2017.

Contact

AEGIS GROUP PRACTICE LLC

306 MIDDLETOWN PARK PL
SUITE B
LOUISVILLE
KY
402432517

Tel: 5022902553

TATUM HOLDER Information

Npi 1659801322
Pac Id 4082963095
Professional Enrollment Id I20180824001804
Last Name HOLDER
First Name TATUM
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty QUALIFIED SPEECH LANGUAGE PATHOLOGIST
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AEGIS GROUP PRACTICE LLC
Group Practice Pac Id 5193036432
Number Of Group Practice Members 106
Line 1 Street Address 306 MIDDLETOWN PARK PL
Line 2 Street Address SUITE B
Marker Of Address Line 2 Suppression
City LOUISVILLE
State KY
Zip Code 402432517
Phone Number 5022902553
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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