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Individual

SONYA J. HOLSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
261 EDGEFIELD AVE NW, AIKEN, SC 29801
(803) 648-4224
(803) 641-1984
Mailing address
216 EDGEFIELD AVE NW, AIKEN, SC 29801-3910
(803) 648-4224
(803) 641-1984

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1138
SC
363AM0700X
Medical Physician Assistant
003032
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0220PA
SC
Enumeration date
08/30/2006
Last updated
09/11/2025
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