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Individual

DR. CANDIDA DAWN SUFFRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
1507 RIVERY BLVD, GEORGETOWN, TX 78628
(512) 509-9550
(512) 509-9555
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2515
CO
207Q00000X
Family Medicine Physician
Primary
Q1029
TX

Other

Enumeration date
07/10/2007
Last updated
05/05/2021
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