Individual
SUSAN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.
Contact information
Practice address
121 N 20TH ST, #6, OPELIKA, AL 36801-5449
(334) 749-3385
(334) 742-9243
Mailing address
121 N 20TH ST, #6, OPELIKA, AL 36801-5449
(334) 749-3385
(334) 742-9243
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-039701
AL
Other
Enumeration date
10/18/2006
Last updated
07/09/2007
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