Individual
MRS. CANDACE S BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
2738 N DECATUR RD, DECATUR, GA 30033-5910
(404) 508-8058
Mailing address
2738 N DECATUR RD, DECATUR, GA 30033-5910
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024190378
VA
363LF0000X
Family Nurse Practitioner
10032702
OR
363LF0000X
Family Nurse Practitioner
119837
WV
363LF0000X
Family Nurse Practitioner
13315
CT
363LF0000X
Family Nurse Practitioner
200657
ND
363LF0000X
Family Nurse Practitioner
209013253
IL
363LF0000X
Family Nurse Practitioner
26NJ15119200
NJ
363LF0000X
Family Nurse Practitioner
29273A
SC
363LF0000X
Family Nurse Practitioner
Primary
314859
AZ
363LF0000X
Family Nurse Practitioner
5020039
NC
363LF0000X
Family Nurse Practitioner
80843
NM
363LF0000X
Family Nurse Practitioner
APRN-243461
MT
363LF0000X
Family Nurse Practitioner
CP003390
SD
363LF0000X
Family Nurse Practitioner
RN280993
GA
363LF0000X
Family Nurse Practitioner
SP030933
PA
Other
Enumeration date
11/12/2015
Last updated
10/31/2024
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