Individual
MS. CANDICE FREEMAN CORNFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
16 JOHN MADDOX DR NW, ROME, GA 30165-1414
(865) 769-6671
Mailing address
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
(865) 769-6671
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN198886
GA
Other
Enumeration date
02/24/2015
Last updated
03/18/2022
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