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RICHARD E HOLMES MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1447236732
Individual Registrant: RICHARD E HOLMES MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2 HARDY RD MISSISIPPI STATE, MS 39762 US
Tel: 662-325-2431 Fax: 662-325-8888
Tel: 662-325-2431 Fax: 662-325-8888
Contact information for business:
PO BOX 6338 MISSISSIPPI STATE, MS 39762-6338 US
Tel: 662-325-2431 Fax: 662-325-8888
Tel: 662-325-2431 Fax: 662-325-8888
Registration Information:
NPI: 1447236732
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | MS | 09277 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 05558810 | MS | 05 |
