Individual
MR. GREGORY L. HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHER STER AVENUE, PATRICK 5-CNL, BURLINGTON, VT 05401
(802) 847-2788
(802) 847-5679
Mailing address
149 BEAUMONT AVENUE, HSRF 426, BURLINGTON, VT 05405
(802) 656-4588
(802) 656-8678
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
11830
NH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
042-0012637
VT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
11830
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004503
—
VT
05
—
30006523
—
NH
Enumeration date
05/03/2006
Last updated
02/01/2021
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