Holmes, Andre' Reshaun

Holmes, Andre' Reshaun is an sole proprietor health care provider with primary practice located at 915 Eagles Landing Pkwy , Stockbridge GA 30281-5011. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Holmes, Andre' Reshaun can be contacted via phone (770) 996-6699.

Contact Information

Primary practice address
915 Eagles Landing Pkwy Stockbridge GA 30281-5011
Phone: (770) 996-6699
Fax: (770) 997-4790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 67644 Georgia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 67644 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 67644 Georgia

Profile Details

NPI number 1457425480
LBN Legal business name Holmes, Andre' Reshaun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Mar 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457425480 NPPES
Georgia MEDICAID 003123920A

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