Individual
CANDACE HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1144 S INDIAN CREEK DR, STONE MOUNTAIN, GA 30083-5014
(404) 296-2936
Mailing address
1144 S INDIAN CREEK DR, STONE MOUNTAIN, GA 30083-5014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030321
GA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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