Individual
MRS. CANDACE TAYLOR TEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, BSN, RN
Contact information
Practice address
128 S BROAD ST, MONROE, GA 30655-2154
(678) 632-1222
Mailing address
2165 WALL RD, MONROE, GA 30656-4992
(678) 978-7300
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
223190
GA
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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