Individual
JAMES H HOLMES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3813
(336) 716-5537
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
200501857
NC
2086S0102X
Surgical Critical Care Physician
200501857
NC
2086S0127X
Trauma Surgery Physician
Primary
200501857
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10230942
—
VA
01
—
141NF
BCBS
NC
01
—
185802
MEDCOST
NC
05
—
3810004295
—
WV
01
—
5260525
AETNA
—
05
—
5902787
—
NC
01
—
807306
PARTNERS
NC
05
—
Q01857
—
SC
Enumeration date
01/06/2006
Last updated
03/01/2017
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