Provider Demographics
NPI:1689837957
Name:MCELROY, CANDICE (MD)
Entity Type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:MCELROY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 S CHATHAM RD
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:ME
Mailing Address - Zip Code:04037-3248
Mailing Address - Country:US
Mailing Address - Phone:207-200-4329
Mailing Address - Fax:207-747-0402
Practice Address - Street 1:567 MAIN ST
Practice Address - Street 2:
Practice Address - City:LOVELL
Practice Address - State:ME
Practice Address - Zip Code:04051-3900
Practice Address - Country:US
Practice Address - Phone:207-200-4329
Practice Address - Fax:207-747-0402
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME018903207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine