Individual
CANDACE MOON BANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8600
Mailing address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8600
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN232068
GA
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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