Provider Demographics
NPI:1679869366
Name:SEAGLE, MARY CANDACE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:CANDACE
Last Name:SEAGLE
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:200 WELLESLEY TRADE LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-5576
Mailing Address - Country:US
Mailing Address - Phone:919-230-4016
Mailing Address - Fax:919-230-4017
Practice Address - Street 1:150 WELLESLEY TRADE LN STE 204
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-5593
Practice Address - Country:US
Practice Address - Phone:919-230-4016
Practice Address - Fax:919-230-4017
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2025-08-18
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Provider Licenses
StateLicense IDTaxonomies
NC0010-02949363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant