Individual
MRS. CANDY LYNN LEADEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 234-5038
Mailing address
PO BOX 16068, HIGH POINT, NC 27261-6068
(888) 447-7220
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3444
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078469
AANA
—
Enumeration date
01/24/2008
Last updated
07/14/2011
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