CANDYCE S. MCLEOD NP NPI 1730188277

NPI Information

NPI: 1730188277
Provider Name: CANDYCE S. MCLEOD, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
9302 MEDICAL PLAZA DRIVE, SUITE C
LTC HEALTH SOLUTIONS
CHARLESTON, SC
ZIP 29406
Phone: (843) 797-0416
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Candyce S. Mcleod, NP is a family nurse practitioner in Charleston, SC. Candyce S. Mcleod, NP NPI is 1730188277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9302 MEDICAL PLAZA DRIVE, SUITE C
LTC HEALTH SOLUTIONS
CHARLESTON, SC
ZIP 29406
Phone: (843) 797-0416
Fax: (843) 847-4477

The enumeration date for this NPI number is 7/18/2005 and was last updated on 12/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		45938	SOUTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	1155	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	NP0550	MEDICAID	SOUTH CAROLINA
2	SC44538753	MEDICARE PIN	SOUTH CAROLINA
3	S88559	MEDICARE UPIN	SOUTH CAROLINA
4	4027	MEDICARE PIN	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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