Individual
CANDACE A COTHRAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1202 E BUTLER RD, GREENVILLE, SC 29607-5910
(864) 627-3800
(864) 672-2654
Mailing address
PO BOX 27129, GREENVILLE, SC 29616-2129
(864) 627-3800
(864) 672-2654
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A553
SC
Other
Enumeration date
08/03/2005
Last updated
07/08/2007
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