Individual
SYDNEY BAUCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3495 IRON HORSE RD, LADSON, SC 29456-4319
(843) 793-5970
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6050
—
Other
Enumeration date
02/13/2024
Last updated
04/03/2026
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