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Individual
SANDI KAY CANDELLA
Active
Individual
SANDI KAY CANDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001002076
NC
363AS0400X
Surgical Physician Assistant
Primary
3053
SC
363AS0400X
Surgical Physician Assistant
5274
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568633824
—
NC
05
—
8102022
—
NC
Enumeration date
03/14/2008
Last updated
04/18/2024
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