Individual
DR. ANDRE' RESHAUN HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5011
(770) 996-6699
(770) 997-4790
Mailing address
915 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5011
(770) 996-6699
(770) 997-4790
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
67644
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
67644
GA
207RP1001X
Pulmonary Disease Physician
Primary
67644
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123920A
—
GA
Enumeration date
11/20/2006
Last updated
03/04/2022
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