Provider Demographics
NPI:1518173905
Name:J N HOLMES MD AND ASSOCIATES GENERAL INTERNAL MEDICINE PLLC
Entity Type:Organization
Organization Name:J N HOLMES MD AND ASSOCIATES GENERAL INTERNAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-216-0227
Mailing Address - Street 1:102 MOCKSVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-3345
Mailing Address - Country:US
Mailing Address - Phone:704-216-0227
Mailing Address - Fax:704-216-0230
Practice Address - Street 1:102 MOCKSVILLE AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-3345
Practice Address - Country:US
Practice Address - Phone:704-216-0227
Practice Address - Fax:704-216-0230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC37854207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2341736Medicare ID - Type Unspecified