Individual
CANDACE GILES ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 RIDENOUR BLVD NW STE 108, KENNESAW, GA 30152-4528
(470) 398-1771
(470) 617-7350
Mailing address
3600 DALLAS HIGHWAY STE 230 PMB 113, MARIETTA, GA 30064
(470) 398-1771
(470) 617-7350
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
77742
GA
Other
Enumeration date
06/20/2012
Last updated
01/29/2023
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