Individual
CANDYCE S. MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9302 MEDICAL PLAZA DRIVE, SUITE C, LTC HEALTH SOLUTIONS, CHARLESTON, SC 29406
(843) 797-0416
(843) 847-4477
Mailing address
1624 MAIN STREET, AGAPE SENIOR PRIMARY CARE, INC., DBA LTC HEALTH SOLUTIO, COLUMBIA, SC 29201
(803) 454-0365
(803) 404-6000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
45938
SC
363LF0000X
Family Nurse Practitioner
Primary
1155
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0550
—
SC
Enumeration date
07/18/2005
Last updated
12/08/2015
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