Organization
J MELBURN D HOLMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M HOLMES MD (OWNER)
(334) 863-5262
Entity
Organization
Contact information
Practice address
32 MEDICAL DR, STE 7, ROANOKE, AL 36274-2421
(334) 863-5262
(334) 863-5264
Mailing address
PO BOX 665, ROANOKE, AL 36274-0665
(334) 863-5262
(334) 863-5264
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529922930
—
AL
Enumeration date
11/29/2007
Last updated
01/13/2009
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