Individual
MR. CLARENCE ANTHONY HOLMES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
506 3RD ST, CLEVELAND, MS 38732-2362
(662) 843-0076
(662) 846-7730
Mailing address
506 THIRD ST., CLEVELAND, MS 38732-2367
(662) 843-0076
(662) 846-7730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
362
MS
Other
Enumeration date
05/30/2013
Last updated
09/06/2013
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