Individual
SYDNEY WILLS MCGIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5105 SOM CENTER RD STE 107, WILLOUGHBY, OH 44094-4203
(440) 655-8389
Mailing address
7766 OAKRIDGE DR, CONCORD TOWNSHIP, OH 44060-7237
(440) 655-8389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007241RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.007241RX
STATE MEDICAL BOARD OF OHIO
OH
Enumeration date
09/22/2021
Last updated
11/03/2021
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