Individual
ALEXANDRA LYN CONDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-9099
Mailing address
PO BOX 601495, CHARLOTTE, NC 28260-1495
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3079
SC
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
11/11/2021
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