Individual
CANDACE N PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D,O.
Contact information
Practice address
146 E HOSPITAL DR STE 200, WEST COLUMBIA, SC 29169-4800
(803) 739-3550
(803) 739-3546
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1607
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016075
—
SC
Enumeration date
02/16/2012
Last updated
09/09/2022
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