Individual
DR. PETER V CANDELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1518 PICKENS ST STE A, COLUMBIA, SC 29201-3449
(803) 306-6121
(803) 306-6122
Mailing address
4110 MOSEBY ST, MAIN EXCHANGE PX, COLUMBIA, SC 29207-6118
(803) 790-1849
(803) 790-1846
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
795
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D07957
—
SC
Enumeration date
04/17/2006
Last updated
06/11/2020
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