MEDICARE: THE MARION COUNTY INTERNAL MEDICINE CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346369519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MARION COUNTY INTERNAL MEDICINE CLINIC

Provider Business Mailing Address
First Line	:	104 PARTNERSHIP WAY
Second Line	:
City	:	COLUMBIA
State	:	MS
Zip	:	39429-4502
Country	:	US
Telephone Number	:	601-736-6443
Fax Number	:	601-736-2543

Provider Business Practice Location Address
First Line	:	104 PARTNERSHIP WAY
Second Line	:
City	:	COLUMBIA
State	:	MS
Zip	:	39429-4502
Country	:	US
Telephone Number	:	601-736-6443
Fax Number	:	601-736-2543

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. KEVIN H HOLMES
Credential	:	M.D.
Telephone Number	:	601-736-6443

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	05/06/2026

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Directions to “THE MARION COUNTY INTERNAL MEDICINE CLINIC ” Practice Location

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