Individual
DR. RICHARD PHILLIP HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870
(252) 537-5639
(252) 537-7198
Mailing address
171 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-6460
(252) 537-5631
(252) 537-7198
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200401073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139AM
BLUE CROSS/ BLUE SHIELD
NC
01
—
P00670232
RR MEDICARE
NC
Enumeration date
02/01/2006
Last updated
01/20/2022
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