Provider Demographics
NPI:1073600540
Name:SIDNEY, DARREN S (MD)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:S
Last Name:SIDNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9221 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9148
Mailing Address - Country:US
Mailing Address - Phone:843-576-0700
Mailing Address - Fax:843-576-0701
Practice Address - Street 1:9221 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9148
Practice Address - Country:US
Practice Address - Phone:843-576-0700
Practice Address - Fax:843-576-0701
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC30166207R00000X, 207RC0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology