Individual
CANDACE LYNN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6465
(912) 375-7781
Mailing address
163 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6465
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NCO-000003
GA
Other
Enumeration date
02/24/2023
Last updated
06/28/2023
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