Provider Demographics
NPI:1316974090
Name:HOLMES, RONA BETH (MD)
Entity type:Individual
Prefix:DR
First Name:RONA BETH
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2172 MOORES MILLS RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830
Mailing Address - Country:US
Mailing Address - Phone:334-887-5060
Mailing Address - Fax:334-887-4367
Practice Address - Street 1:2172 MOORES MILLS RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830
Practice Address - Country:US
Practice Address - Phone:334-887-5060
Practice Address - Fax:334-887-4367
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00025546207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051519372OtherBC AUBURN OFFICE
AL051521994Medicaid
AL009960755Medicaid