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1962496554
CANDACE C WATERS
GRANITEVILLE, SC
NPI
1962496554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 459)
Enumeration Date
2005-09-09
Last Update Date
2020-09-23
Business Address
Mrs. CANDACE C WATERS MSN, FNP-BC, CDE
124 BETTIS ACADEMY RD
GRANITEVILLE, SC 29829-3107
Phone number: 803-392-3724
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Mailing Address
Mrs. CANDACE C WATERS MSN, FNP-BC, CDE
367 S. GULPH RD ATT: IPM CREDENTIALING
KING OF PRUSSIA, PA 19406-3121
Phone number: 803-392-3724
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