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Organization

DR B. E. HOLMES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BYRON EUGENE HOLMES M.D. P.A. (MEDICAL DIRECTOR)
(501) 676-6560
Entity
Organization

Contact information

Practice address
305 W FRONT ST, LONOKE, AR 72086-3119
(501) 676-6560
(501) 676-7166
Mailing address
305 W FRONT ST, LONOKE, AR 72086-3119
(501) 676-6560
(501) 676-7166

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2033
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011704651
PALMETTO GBA-RAILROAD MED
AR
05
103250001
AR
05
111581002
AR
01
4208778
AETNA
AR
01
4979243001
CIGNA
AR
01
61196
UNITEDHEALTHCARE
AR
01
770014101
BREASTCARE
AR
Enumeration date
05/09/2007
Last updated
12/04/2009
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