Individual
DR. GILBERT LARRY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1344 HAILE ST, CAMDEN, SC 29020-3076
(803) 432-1996
(803) 424-2703
Mailing address
PO BOX 1259, CAMDEN, SC 29021-1259
(803) 713-8350
(803) 713-8433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q0156H
—
SC
Enumeration date
10/03/2006
Last updated
02/24/2012
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