Individual
MR. PANYA J HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARRT(R)(MR)(CT)
Contact information
Practice address
5075 DAWES RD, GRAND BAY, AL 36541-3219
(251) 635-3772
Mailing address
5075 DAWES RD, GRAND BAY, AL 36541-3219
(251) 635-3772
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
267002
AL
2471C3401X
Computed Tomography Radiologic Technologist
267002
AL
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
267002
AL
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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