Individual
JOSEPH RYAN STURKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
222 E MEDICAL LN STE 100&200, WEST COLUMBIA, SC 29169-4847
(803) 935-8410
(803) 936-7816
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3620
SC
363AS0400X
Surgical Physician Assistant
3620
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4237PA
—
SC
Enumeration date
10/18/2019
Last updated
03/17/2023
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