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Individual

JAMES W HOLCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1120 15TH ST, BIW-6033, AUGUSTA, GA 30912-0004
(706) 721-2331
(706) 721-7531
Mailing address
1120 15TH ST, BIW-6033, AUGUSTA, GA 30912-0004
(706) 721-2331
(706) 721-7531

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
027065
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000325289Q
GA
01
10045040
AMERIGROUP
GA
01
1831207
CIGNA
GA
01
340850
WELLCARE
GA
01
370019337
RR MEDICARE-GRP # CC4177
GA
01
4700072
UNITED HEALTHCARE
GA
01
52045639
BCBS
GA
Enumeration date
01/18/2006
Last updated
08/29/2011
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