Individual
MS. CANDACE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1329 N 5TH STREET EXT, CORDELE, GA 31015-3753
(229) 276-2286
Mailing address
PO BOX 5007, CORDELE, GA 31010-5007
(229) 276-3100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN149543
GA
Other
Enumeration date
08/18/2009
Last updated
01/23/2023
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