Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0102201801 | VA |
N | 111NI0900X | Internist | 0102201801 | VA |
N | 207RR0500X | Rheumatology | 0102201801 | VA |
Y | 207RR0500X | Rheumatology | 2013-00820 | NC |
NPI | 1053496349 |
---|---|
Provider Name | Dr. Robert Orin Holmes JR. |
First Address | Charlotte, NC 28289-6206 |
Second Address | Pollocksville, NC 28573-8200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 17/03/2017 |