Individual
CANDACE WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 S SHIRLEY AVE, HONEA PATH, SC 29654-1503
(864) 512-7879
(864) 512-7037
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 369-0552
(864) 369-1826
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
18773
SC
363L00000X
Nurse Practitioner
Primary
18873
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2827
—
SC
01
—
SC32386608
MEDICARE
—
01
—
SC32387482
MEDICARE
SC
Enumeration date
04/24/2014
Last updated
01/05/2023
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