Individual
DANIEL SEAN HOLSONBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 339-1054
Mailing address
701 ROCKWOOD DR, NORTH AUGUSTA, SC 29841-3256
(706) 339-1054
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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