Individual
SYDNEY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
567 N 5TH ST RM 230, TERRE HAUTE, IN 47809-1903
(812) 237-3632
Mailing address
PO BOX 776351, CHICAGO, IL 60677-1903
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004115A
IN
363A00000X
Physician Assistant
Primary
TC083
KY
Other
Enumeration date
09/07/2023
Last updated
11/22/2023
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