SYDNEY ALLSBROOK FUNDERBURK


Address: 6401 Cloverdale Dr, Columbia, SC 29209-1840
Phone: 8036068124

SYDNEY ALLSBROOK FUNDERBURK (NPI# 1972126043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972126043
Entity Type Individual
Full Name SYDNEY ALLSBROOK FUNDERBURK
Credential PA-S
Practice Address 6401 Cloverdale Dr
Columbia
SC 29209-1840
Practice Telephone 8036068124
Mailing Telephone 8036068124
Enumeration Date 2020-05-24
Last Update Date 2020-05-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 6401 CLOVERDALE DR
City COLUMBIA
State SC
Zip Code 29209-1840

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992293013 Pertile Group LLC Family Medicine 26 Foot Point Rd, Columbia, SC 29209 2018-04-24
1083156061 Derek Clark Physical Therapist 6349 Garners Ferry Rd, Columbia, SC 29209 2016-11-08
1922450345 Heather Alexander Social Worker 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 2016-07-09
1265888325 Daphne Elaine Allen Counselor 1850 Pinview Dr, Columbia, SC 29209 2016-05-09
1659757649 Marc Edmundson Pharmacist 500 Gills Creek Pkwy #810, Columbia, SC 29209 2015-08-03
1477949113 Winter Years Home Health Care Agency, LLC Home Health 1101 1st Street, P, Columbia, SC 29209 2015-04-09
1285045773 Alireza Adhami Pharmacist 7235 Garners Ferry Rd, Columbia, SC 29209 2014-05-19
1790039212 Immediate Dental Group Columbia Dentist 1118 Greenlawn Drive, Columbia, SC 29209 2012-11-06
1275896284 Tariq Horani Internal Medicine 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 2012-06-25
1902165467 Medcare Urgent Care Center Garners Ferry, LLC Clinic/Center 7418 Garners Ferry Road, Columbia, SC 29209 2012-05-03
Find all providers in zip 29209

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891313292 Zachary Blake Riggs Student in an Organized Health Care Education/Training Program 2025 Gervais St Unit 321c, Columbia, SC 29204-1803 2020-07-12
1144848797 Katrina Marie Linenko Student in an Organized Health Care Education/Training Program 1051 Southern Dr Unit 3707c, Columbia, SC 29201-5622 2020-07-10
1790303402 Kaitlyn Michele Pierce Student in an Organized Health Care Education/Training Program 1051 Southern Dr Unit 1905c, Columbia, SC 29201-5607 2020-07-09
1316565211 Erin Maureen Bryant Student in an Organized Health Care Education/Training Program 811 Polo Rd Apt 517, Columbia, SC 29223-4426 2020-07-08
1265050132 Leona Joyce Keller Student in an Organized Health Care Education/Training Program 1051 Southern Dr Unit 901, Columbia, SC 29201-5194 2020-07-08
1922626720 Brett William Elder Student in an Organized Health Care Education/Training Program 1051 Southern Dr Unit 3707, Columbia, SC 29201-5622 2020-07-08
1245858174 Regina Duncan Student in an Organized Health Care Education/Training Program 1539 S Kilbourne Rd, Columbia, SC 29205-4708 2020-07-07
1841812591 Chasitie Ann Mcintosh Student in an Organized Health Care Education/Training Program 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 2020-05-15
1053933267 Allyson Derrick Student in an Organized Health Care Education/Training Program 1601 Greene Street Columbia, Columbia, SC 29208-0001 2020-05-11
1891315206 Dinanath Praveen Attele Student in an Organized Health Care Education/Training Program 1 Hospital Dr # Ce507, Columbia, MO 65212-1000 2020-04-26
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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