Individual
CANDACE R. MURBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
145 SUNSET CT STE 100, WEST COLUMBIA, SC 29169-2464
(803) 739-3550
Mailing address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-2112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02001638A
IN
207Q00000X
Family Medicine Physician
074679
GA
207Q00000X
Family Medicine Physician
47926
CO
207Q00000X
Family Medicine Physician
Primary
OS15904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111814
ANTHEM
IN
01
—
00001416810 04
UNITED
—
05
—
003174857A
—
GA
01
—
080130035
RAILROAD MEDICARE
IN
05
—
200009280
—
IN
01
—
3937240013
MEDICARE DMEPOS
IN
01
—
4594619
AETNA
—
01
—
7127
PHYSICIANS HEALTH PLAN
IN
Enumeration date
12/27/2005
Last updated
02/28/2025
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