Individual
SYDNEY RENEE NIDIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
220 GRACES WAY, COLUMBIA, SC 29229-1613
(803) 736-4560
Mailing address
220 GRACES WAY, COLUMBIA, SC 29229-1613
(803) 736-4560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4660
SC
Other
Enumeration date
11/22/2022
Last updated
10/20/2025
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