Individual
DEREK KEITH HOLCOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3368 HIGHWAY 280 STE 107, ALEXANDER CITY, AL 35010-3375
(256) 329-2829
(256) 329-9135
Mailing address
3368 HIGHWAY 280, SUITE 214, ALEXANDER CITY, AL 35010-3393
(256) 329-2829
(256) 329-9135
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14800
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100008592
RAILROAD MEDICARE
AL
01
—
51028627
BLUE CROSS BLUE SHIELD
AL
05
—
529603400
—
AL
Enumeration date
08/14/2006
Last updated
02/01/2023
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