Individual
CANDACE RAQUEL WULFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1801 SUNSET DRIVE, SURGERY CLINIC, COLUMBIA, SC 29203
(803) 434-6155
(803) 434-4183
Mailing address
1801 SUNSET DRIVE, SURGERY CLINIC, COLUMBIA, SC 29203
(803) 434-6155
(803) 434-4183
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL51258
SC
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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