Individual
MRS. SUNNY MARIA HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 E HOSPITAL ROAD, BUILDING T-300, EISENHOWER ARMY MED CENTER ORTHOPEDIC SURGERY DEPT, FORT GORDON, GA 30905
(706) 787-6157
(706) 787-2901
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7893
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7893
GA MEDICAL LICENSE
GA
Enumeration date
06/28/2006
Last updated
02/03/2022
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