Individual
CANDACE RENEE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
500 LAUCHWOOD DR, LAURINBURG, NC 28352-5501
(910) 291-7000
Mailing address
1410 WARD STORE RD, FAIRMONT, NC 28340-6510
(910) 474-6114
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
196977
NC
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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