Individual
MRS. CANDACE MCCULLOUGH NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1938 PEACHTREE RD NW, ATLANTA, GA 30309-1267
(404) 603-1317
Mailing address
1376 BENTEEN PARK DR SE, ATLANTA, GA 30315-4442
(770) 402-8341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020869
GA
Other
Enumeration date
08/31/2005
Last updated
09/12/2011
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