Provider Demographics
NPI:1679829584
Name:HOLMES, ALVIN ALLEN JR (CSFA)
Entity Type:Individual
Prefix:MR
First Name:ALVIN
Middle Name:ALLEN
Last Name:HOLMES
Suffix:JR
Gender:M
Credentials:CSFA
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Other - Credentials:
Mailing Address - Street 1:6309 OLD FORT BAYOU RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-8184
Mailing Address - Country:US
Mailing Address - Phone:228-313-5781
Mailing Address - Fax:228-376-0138
Practice Address - Street 1:6309 OLD FORT BAYOU RD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-8184
Practice Address - Country:US
Practice Address - Phone:228-313-5781
Practice Address - Fax:228-376-0138
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-28
Last Update Date:2012-07-28
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant