Holmes, Andre' Reshaun
Holmes, Andre' Reshaun is an sole proprietor health care provider with primary practice located at 915 Eagles Landing Pkwy , Stockbridge GA 30281-5011. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Holmes, Andre' Reshaun can be contacted via phone (770) 996-6699.Contact Information
Primary practice address
915 Eagles Landing Pkwy
Stockbridge GA 30281-5011
Phone: (770) 996-6699
Fax: (770) 997-4790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 67644 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 67644 | Georgia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 67644 | Georgia |
Profile Details
| NPI number | 1457425480 |
|---|---|
| LBN Legal business name | Holmes, Andre' Reshaun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Mar 4th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457425480 | NPPES |
| Georgia | MEDICAID | 003123920A |
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