Provider Demographics
NPI:1053920181
Name:HAYES, CANDICE ANN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:ANN
Last Name:HAYES
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:7019 HARPS MILL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3248
Mailing Address - Country:US
Mailing Address - Phone:919-850-1300
Mailing Address - Fax:919-850-0012
Practice Address - Street 1:7019 HARPS MILL RD STE 200
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3248
Practice Address - Country:US
Practice Address - Phone:919-850-1300
Practice Address - Fax:919-850-0012
Is Sole Proprietor?:No
Enumeration Date:2020-07-24
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-10366363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant