Male or Other

Jonathan M. Holmes M.D.

Pediatrics Physician in Mobile, AL(View on Map)

Full Name

Jonathan Michael Holmes M.D.

NPI Number

1063770709

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/01/2012

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

34513

Contact
Information

Purpose

Mailing
Location

Address

610 PROVIDENCE PARK DR E
610 PROVIDENCE PARK DR E

City

Mobile
Mobile

State

AL
AL

Postal Code

36695-4622
36695-4622

Country

US
US

Telephone Number

(251) 639-1300
(251) 639-1300

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

Data last updated by provider on 09/24/2019

Provider Address

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