Individual
GREGORY A HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 RAILROAD AVE, GOLDSBORO, MD 21636-1126
(410) 634-2380
(833) 908-2287
Mailing address
316 RAILROAD AVE, GOLDSBORO, MD 21636-1126
(410) 634-2380
(833) 908-2287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19741
WV
207Q00000X
Family Medicine Physician
C10011788
DE
207Q00000X
Family Medicine Physician
Primary
D0096355
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212536
ANTHEM
WV
01
—
00058431
RR MEDICARE
WV
01
—
001709560
MT. STATE
WV
05
—
2444466
—
OH
05
—
5630043000
—
WV
05
—
64943137
—
KY
Enumeration date
01/18/2006
Last updated
02/15/2023
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