Holmes, Keith D.

Holmes, Keith D. is an sole proprietor health care provider with primary practice located at 540 Hemlock St , Macon GA 31201-3202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Holmes, Keith D. can be contacted via phone (478) 743-8953.

Contact Information

Primary practice address
540 Hemlock St Macon GA 31201-3202
Fax: (478) 743-1963
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 32753 Georgia

Profile Details

NPI number 1104882281
LBN Legal business name Holmes, Keith D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Jun 18th, 2008 - about 17 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 1104882281 NPPES
Georgia Other 278840 B/C B/S
Georgia Other 4839436-003 B/C B/S
Georgia MEDICAID 00429459A B/C B/S

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