| Doctor Name: | CANDACE WHITFIELD |
| NPI Number: | 1710307103 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 18773 |
| Business Practice Address: | 21 S Shirley Ave Honea Path, SC - 296541503 |
| Business Phone Number: | 8643690552 |
| Business Fax Number: | 8643691826 |
| Mailing Address: | 21 S Shirley Ave, HONEA PATH |
| State: | SC |
| Postal Code: | 296541503 |
| Phone Number: | 8643690552 |
| Fax Number: | 8643691826 |
| NPI Enumeration Date: | 04/24/2014 |
| NPI Last Update Date: | 07/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 18773 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |