Malone, Candace Gregory

Malone, Candace Gregory is an individual health care provider with primary practice located at 151 Peachwood Centre Dr , Spartanburg SC 29301-2575. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Malone, Candace Gregory can be contacted via phone (864) 560-9627.

Contact Information

Primary practice address
151 Peachwood Centre Dr Spartanburg SC 29301-2575
Phone: (864) 560-9627
Fax: (864) 562-5470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 105935 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20628 South Carolina

Profile Details

NPI number 1023550894
LBN Legal business name Malone, Candace Gregory
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2016
Last updated Dec 3rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023550894 NPPES
South Carolina Other SC9726J577 MEDICARE PIN
South Carolina Other SC97266084 MEDICARE PIN
South Carolina Other SC97266121 MEDICARE PIN
South Carolina MEDICAID NP4260 MEDICARE PIN

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