Individual
DR. CANDICE M SIEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 EMERSON BAY RD, SUITE 102, CAROLINA SHORES, NC 28467-2498
(910) 579-8363
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 579-8363
(910) 579-8306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-00432
NC
207Q00000X
Family Medicine Physician
35075365
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2194325
—
OH
Enumeration date
12/21/2005
Last updated
10/31/2016
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