Holden, Sunny Maria
Holden, Sunny Maria is an individual health care provider with primary practice located at 300 E Hospital Road, Building T-300 Eisenhower Army Med Center Orthopedic Surgery Dept, Fort Gordon GA 30905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Holden, Sunny Maria can be contacted via phone (706) 787-6157.Contact Information
Primary practice address
300 E Hospital Road, Building T-300 Eisenhower Army Med Center Orthopedic Surgery Dept
Fort Gordon GA 30905
Phone: (706) 787-6157
Fax: (706) 787-2901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 7893 | Georgia |
Profile Details
| NPI number | 1194753525 |
|---|---|
| LBN Legal business name | Holden, Sunny Maria |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Feb 3rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194753525 | NPPES |
| Georgia | Other | 7893 | GA MEDICAL LICENSE |
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