Individual
MRS. TJUANA FAITH DURDEN SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
468 OLD CHEROKEE RD, LEXINGTON, SC 29072-9031
(803) 970-6972
(839) 218-5344
Mailing address
407 REEDY RIVER CT, LEXINGTON, SC 29073-9630
(803) 646-0126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2378
SC
363AM0700X
Medical Physician Assistant
Primary
2378
SC
Other
Enumeration date
10/13/2015
Last updated
04/18/2025
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