Individual
SYDNEY BURRELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2695 ELMS PLANTATION BLVD, NORTH CHARLESTON, SC 29406-7132
(843) 818-1181
Mailing address
250 HILLENDALE WAY, PELZER, SC 29669-8855
(803) 517-2956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4139
SC
Other
Enumeration date
09/28/2021
Last updated
04/29/2024
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