Individual
SYDNEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 FORT JACKSON BLVD STE 110, COLUMBIA, SC 29209-1134
(803) 800-1868
Mailing address
201 FRYSTON LN, BLYTHEWOOD, SC 29016-9237
(609) 313-1048
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SC
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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