Individual
CANDI HOLYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1395 S MARIETTA PKWY SE STE 216, MARIETTA, GA 30067-7832
(770) 688-1090
Mailing address
5040 CINNABAR DR, ALPHARETTA, GA 30022-7922
(404) 644-0045
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN196832
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN196832
GA RN LICENSE
GA
Enumeration date
10/30/2018
Last updated
10/30/2018
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