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Individual

CANDICE F. THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN145126
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN16076
TN

Other

Enumeration date
09/21/2011
Last updated
10/07/2011
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