Individual
DR. CANDACE MITCHELL WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 MANNING DRIVE CAMPUS BOX #7070, CHAPEL HILL, NC 27599-4216
(984) 974-6484
Mailing address
MEDICAL CENTER BLVD., WINSTON SALEM, NC 27157-0001
(336) 716-1332
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2018-00901
NC
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
2018-00901
NC
Other
Enumeration date
04/16/2013
Last updated
08/09/2019
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