Individual
DR. CANDACE ROWLAND PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7023 OLD JAHNKE RD, RICHMOND, VA 23225
(804) 320-1353
(804) 320-6636
Mailing address
7023 OLD JAHNKE RD, RICHMOND, VA 23225
(804) 320-1353
(804) 320-6636
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101054279
VA
2080A0000X
Pediatric Adolescent Medicine Physician
0101054279
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200257
SOUTHERN HEALTH
VA
01
—
3119833
MAMSI
VA
01
—
437065
ANTHEM
VA
01
—
6736726
SENTARA
VA
05
—
6736726
—
VA
Enumeration date
08/31/2005
Last updated
08/03/2012
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