CANDRA RICH (NPI# 1306201728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306201728 |
| Entity Type | Individual |
| Full Name | CANDRA RICH |
| Credential | FNP |
| Practice Address |
24 E Main St Williamston SC 29697-1925 |
| Mailing Address |
1702 Skyline Dr Spartanburg SC 29307 |
| Practice Telephone | 8648476020 |
| Practice Fax Number | 8648476007 |
| Mailing Telephone | 8645853608 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 8147 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 26-1367393 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1702 Skyline Dr, Spartanburg, SC 29307 | 8645853608 |
| Street Address |
24 E MAIN ST |
| City | WILLIAMSTON |
| State | SC |
| Zip Code | 29697-1925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407397227 | Intercostal Nonsurgical Diagnostic Inc | Prevention Professional | 24 E Main St, Williamston, SC 29697-1925 | 2017-03-13 |
| 1992803043 | Kevin Walter Burnham | Physician Assistant | 24 E Main St, Williamston, SC 29697-1925 | 2006-09-20 |
| 1427018159 | Thomas Arthur Malone | Family Medicine | 24 E Main St, Williamston, SC 29697-1925 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760893705 | Daniel Alexander Ellis | Occupational Therapy Assistant | 801 N. Hamilton St., Williamston, SC 29697 | 2014-05-13 |
| 1093134108 | Luz Brown | Pharmacist | 102 Wood Stream Way, Williamston, SC 29697 | 2014-04-16 |
| 1144644410 | Lynne Phillips | Registered Nurse | 804 N. Hamilton Street, Williamston, SC 29697 | 2014-02-07 |
| 1396969556 | Ambucare Ambulance LLC. | Non-emergency Medical Transport (VAN) | 303 Beaverdam Road, Williamston, SC 29697 | 2007-04-12 |
| 1275676892 | Jorge Antonio Perdomo | Social Worker | 900 Greenville Drive, Williamston, SC 29697 | 2007-02-14 |
| 1245301985 | Complete Healing & Wellness Center P.a. | Chiropractor | 24 East Main St, Williamston, SC 29697 | 2006-11-13 |
| 1255402905 | Jack D Wise Jr. | Chiropractor | 24 East Main Street, Williamston, SC 29697 | 2006-11-13 |
| 1285839563 | Lou Wingo Rogers | Counselor | 900 Greenville Drive, Williamston, SC 29697 | 2007-06-18 |
| 1578634218 | Marylouise Schultz Wise | Chiropractor | 24 East Main St, Williamston, SC 29697 | 2006-11-13 |
| 1447654363 | New Dominion Community Services LLC | Counselor | 900 Greenville Drive, Williamston, SC 29697-0000 | 2014-10-21 |
| Find all providers in zip 29697 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574839 | Tarik Mujadzic | Plastic Surgery | Plastic Surgery, 2 Medical Park, Ste 300, Columbia, SC 29203 | 2019-05-28 |
| 1134462146 | Smith Plastic Surgery | Plastic Surgery | 16 Okatie Center Blvd S Ste 101, Okatie, SC 29909-7535 | 2013-03-28 |
| 1285980128 | Finger and Associates Plastic Surgery Center | Plastic Surgery | 71 Lighthouse Rd, Suite 613, Hilton Head, SC 29928-7216 | 2012-07-30 |
| 1386902435 | Emily Grace Clark | Plastic Surgery | 115 N Sumter St Ste 115, Sumter, SC 29150-4968 | 2012-04-26 |
| 1043502016 | Myles Goldflies | Plastic Surgery | 8212 Devon Ct, Myrtle Beach, SC 29572-4178 | 2011-05-10 |
| 1871883116 | Spartanburg Medical Center | Plastic Surgery | 2801 Woodruff Rd Ste 202, Simpsonville, SC 29681-4807 | 2011-04-07 |
| 1578872941 | Steven Jeffrey Goodman | Plastic Surgery | 1314 Hidden Lakes Dr, Mount Pleasant, SC 29464-9470 | 2010-10-01 |
| 1023245966 | Nirvana Plastic Surgery, P.a. | Plastic Surgery | 8208a Devon Ct, Myrtle Beach, SC 29572-4178 | 2009-06-18 |
| 1588803530 | Terrence Weston Bruner | Plastic Surgery | 7 Linwa Blvd, Anderson, SC 29621-4486 | 2009-02-16 |
| 1992951883 | Manuel G Trujillo Jr. | Plastic Surgery | 2755 S Highway 14 Ste 2050, Greer, SC 29650-4933 | 2008-08-12 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTON |
| Zip Code | 29697 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.