IndividualActive
Alex Holsonback
NPI 1790329324 · Medical Physician Assistant · Spartanburg, SC
Provider details
- NPI number
- 1790329324
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
136 Bumble Cir
Mauldin, SC 29662-2597
Registry dates
- Enumerated
- 2019-11-06
- Last updated
- 2021-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.