Provider Demographics
NPI:1225110075
Name:HOLCOMB, HENRY HILLIARD (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:HILLIARD
Last Name:HOLCOMB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3317 FERNDALE ST
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2916
Mailing Address - Country:US
Mailing Address - Phone:301-785-4799
Mailing Address - Fax:240-559-0992
Practice Address - Street 1:3317 FERNDALE ST
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2916
Practice Address - Country:US
Practice Address - Phone:301-785-4799
Practice Address - Fax:240-559-0992
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00279032084P0800X, 2084D0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084D0003XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyDiagnostic Neuroimaging