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Individual

MICHAEL PAUL HOLCOMBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
901 N BROAD ST NE, SUITE 220, ROME, GA 30161-5207
(706) 291-2661
(706) 235-4177
Mailing address
PO BOX 369, ROME, GA 30162-0369
(706) 291-2661
(706) 235-4177

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2007012433
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003123794B
GA
Enumeration date
08/06/2007
Last updated
07/24/2012
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