Male or Other

Dr. Keith D. Holmes MD

Otolaryngology Physician in Macon, GA(View on Map)

Full Name

Dr. Keith D. Holmes MD

NPI Number

1104882281

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/26/2006

Specialties

(Taxonomies)

Code

207Y00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

32753

Contact
Information

Purpose

Mailing
Location

Address

540 HEMLOCK ST
540 HEMLOCK ST

City

Macon
Macon

State

GA
GA

Postal Code

31201-3202
31201-3202

Country

US
US

Telephone Number

(478) 743-8953
(478) 743-8953

Identifiers

Identifier

278840
4839436-003
00429459A

Identifier State

GA
GA
GA

Identifier Issuer

B/C B/S
CIGNA
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/18/2008

Provider Address

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