Individual provider · Type 1 NPI

Sydney Derrick, MD

Student in an Organized Health Care Education/Training Program · Charleston, SC

NPI number 1740082098 Active

Practice location

169 Ashley Ave Rm 202
Charleston, SC 29425-8905

Call (843) 997-1132 Map

Other practice locations

  • 300 Singleton Ridge Rd, Conway, SC 29526-9142 · (843) 347-8134

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740082098

Sydney Derrick, MD's National Provider Identifier is 1740082098, issued on Mar 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charleston, SC. The record was last updated on Apr 20, 2026.