Individual
DR. CANDACE M REDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
620 S. JAMES CAMPBELL BLVD, COLUMBIA, TN 38401
(931) 952-6389
Mailing address
620 S. JAMES CAMPBELL BLVD, COLUMBIA, TN 38401
(931) 614-0983
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6711
LA
122300000X
Dentist
DN1856949
MA
122300000X
Dentist
DN20901
FL
Other
Enumeration date
08/26/2014
Last updated
03/17/2018
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