Individual
DR. MICHAEL W HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
479 HEYWOOD AVE, SPARTANBURG, SC 29307
(864) 583-6381
(864) 583-6390
Mailing address
479 HEYWOOD AVE, SPARTANBURG, SC 29307
(864) 583-6381
(864) 583-6390
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5698
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056986
—
SC
01
—
890562P
NORTH CAROLINA MEDICAID
SC
01
—
CJ6730
RAILROAD MEDICARE GROUP
SC
Enumeration date
05/23/2005
Last updated
10/22/2007
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