Individual provider · Type 1 NPI

Alex Holsonback

Medical Physician Assistant · Spartanburg, SC

NPI number 1790329324 Active

Practice location

101 E Wood St
Spartanburg, SC 29303-3040

Mailing address

136 Bumble Cir
Mauldin, SC 29662-2597

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1790329324

Alex Holsonback's National Provider Identifier is 1790329324, issued on Nov 6, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Spartanburg, SC. The record was last updated on Jan 20, 2021.