Individual
HOLMES BAKER MARCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 JESSE JEWELL PKWY SE, SUITE B, GAINESVILLE, GA 30501-3756
(770) 536-6300
(770) 536-6006
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
037021
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000542462B
—
GA
05
—
000542462D
—
GA
01
—
10045238
AMERIGROUP
GA
01
—
2300300
UNITED HEALTHCARE
GA
01
—
250006460
RR MEDICARE-GRP # CC4177
GA
01
—
340872
WELLCARE
GA
01
—
4502072
AETNA
GA
01
—
4783129
CIGNA
GA
01
—
52451378
BCBS
GA
Enumeration date
01/20/2006
Last updated
03/06/2019
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