Provider Demographics
NPI:1316042757
Name:HOLCOMB, BRIAN GENE (DPM)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:GENE
Last Name:HOLCOMB
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:3444 GREEN APPLE RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-4121
Mailing Address - Country:US
Mailing Address - Phone:770-889-9596
Mailing Address - Fax:770-889-9547
Practice Address - Street 1:620 J L WHITE DR STE 100
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-4897
Practice Address - Country:US
Practice Address - Phone:706-692-6980
Practice Address - Fax:770-889-9547
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2020-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAPOD000536213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAT97653Medicare UPIN