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Individual

DR. CANDACE REISER BAIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1207 HOUSTON LAKE DR, SUITE C, PERRY, GA 31069-3583
(478) 987-9666
(478) 988-8091
Mailing address
PO BOX 628, PERRY, GA 31069-0628
(478) 987-9666
(478) 998-8809

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008377
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DH0819
PALMETTO GBA MEDICARE
GA
Enumeration date
07/30/2008
Last updated
09/16/2008
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