Individual
SYDNEY F FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1203 S TYLER ST STE 100, COVINGTON, LA 70433-2353
(985) 892-9090
(985) 892-9957
Mailing address
4950 ESSEN LN, BATON ROUGE, LA 70809-3738
(225) 767-0847
(225) 766-0218
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200805
LA
Other
Enumeration date
10/21/2015
Last updated
03/17/2018
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