Individual
MS. REBECCA LYNN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA23
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941616
—
AL
01
—
0366100001
CIGNA GOVERNMENT SERVICES PTAN
AL
01
—
R38293
HEALTH SPRINGS
AL
Enumeration date
02/13/2006
Last updated
03/25/2014
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