Individual
DEREK KEITH HOLCOMBE
Active
Individual
DEREK KEITH HOLCOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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