Individual
MRS. CANDACE PARKER FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
109 W LEGION AVE, COLUMBIA, IL 62236-2341
(618) 281-4325
(618) 208-1313
Mailing address
109 W LEGION AVE, COLUMBIA, IL 62236-2341
(618) 281-4325
(618) 208-1313
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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