Individual
MS. CONNIE S CANADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
MUSC HOLLINGS CANCER CTR, 86 JONATHAN LUCAS ST., CHARLESTON, SC 29425-0001
(843) 792-9300
(843) 792-1445
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3688
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2128
—
SC
Enumeration date
10/24/2006
Last updated
01/04/2021
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