| Dr Keith D Holmes, MD | |
|
540 Hemlock St, Macon, GA 31201-3202 | |
| (478) 743-8953 | |
| (478) 743-1963 |
| Full Name | Dr Keith D Holmes |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 540 Hemlock St, Macon, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104882281 | NPI | - | NPPES |
| 278840 | Other | GA | B/C B/S |
| 4839436-003 | Other | GA | CIGNA |
| 00429459A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 32753 (Georgia) | Primary |
| Entity Name | The Ent Center Of Central Georgia, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962449363 PECOS PAC ID: 6103817556 Enrollment ID: O20040524000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith D Holmes, MD 540 Hemlock St, Macon, GA 31201-3202 Ph: (478) 743-8953 | Dr Keith D Holmes, MD 540 Hemlock St, Macon, GA 31201-3202 Ph: (478) 743-8953 |
Dr. Andrew Tice, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1136 Jackson Springs Rd, Macon, GA 31211 Phone: 478-746-9797 | |
Dr. Thomas William Holmes, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 540 Hemlock St, Macon, GA 31201 Phone: 478-743-8953 Fax: 478-743-1963 | |
Alejandro J. Correa, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 540 Hemlock St, Macon, GA 31201 Phone: 478-743-8953 Fax: 478-743-1963 | |
Dr. C. Warren Dunn, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 540 Hemlock St, Macon, GA 31201 Phone: 478-743-8953 Fax: 478-743-1963 | |
Dr. John Warren Griffin, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 540 Hemlock St, Macon, GA 31201 Phone: 478-743-8953 | |
Dr. John Robert Newman, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 540 Hemlock St, Macon, GA 31201 Phone: 478-743-8953 Fax: 478-741-9556 |