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NPI Code Detail

MEDICARE: ADAM HOLMES

MEDICARE:   ADAM  HOLMES
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
1343900000XNon-emergency Medical Transport (VAN)MS

General Provider Information

NPI Number : 1992298905
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM HOLMES
Provider Business Mailing Address
First Line : 2798 LAKE LOWNDES RD
Second Line :
City : COLUMBUS
State : MS
Zip : 39702-9215
Country : US
Telephone Number : 662-328-8294
Fax Number :
Provider Business Practice Location Address
First Line : 2798 LAKE LOWNDES RD
Second Line :
City : COLUMBUS
State : MS
Zip : 39702
Country : US
Telephone Number : 662-328-8294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2018
Last Update Date : 06/13/2018

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Directions to “ ADAM HOLMES ” Practice Location

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