Provider Demographics
NPI:1962184499
Name:PAIGE, CANDACE (LPN)
Entity type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:
Last Name:PAIGE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:3942 GARNER RD
Mailing Address - Street 2:
Mailing Address - City:TIMMONSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29161-9255
Mailing Address - Country:US
Mailing Address - Phone:854-903-7960
Mailing Address - Fax:
Practice Address - Street 1:3942 GARNER RD
Practice Address - Street 2:
Practice Address - City:TIMMONSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29161-9255
Practice Address - Country:US
Practice Address - Phone:854-903-7960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC49533164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse