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Individual

MR. JUSTIN RHEA KANDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
295A MIDLAND PKWY STE 260, SUMMERVILLE, SC 29485-5901
(843) 875-8994
(843) 875-8981
Mailing address
295A MIDLAND PKWY STE 260, SUMMERVILLE, SC 29485-5901
(843) 875-8994
(843) 875-8981

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-13979
NC
363A00000X
Physician Assistant
Primary
5916
SC

Other

Enumeration date
12/04/2006
Last updated
10/15/2025
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