Individual
DR. ADELE B HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2301 SPRINGHILL ROAD, SUITE 200, BENTON, AR 72019
(501) 315-0078
(501) 943-3016
Mailing address
2301 SPRINGHILL ROAD, SUITE 200, BENTON, AR 72019
(501) 315-0078
(501) 943-3016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E0670
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1220059
UNITED HEALTH CARE ID#
AR
05
—
129511001
—
AR
01
—
16838000000
QUALCHOICE PRIOVIDER ID
AR
01
—
5902223
AETNA PROVIDER ID
AR
01
—
5K100
BCBS PRIVIDER ID
AR
Enumeration date
04/05/2006
Last updated
01/25/2011
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