Individual
CANDACE JANIA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 SHARTOM DR, AUGUSTA, GA 30907-4748
(706) 312-2185
Mailing address
415 BLOEDEL RESERVE WAY APT 303, MARTINEZ, GA 30907-7331
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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