Individual
CANDACE S MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
4702 LASCASSAS PIKE, LASCASSAS, TN 37085-4511
(615) 896-9808
Mailing address
12001 ELROD MCELROY RD, MILTON, TN 37118-4226
(615) 542-7772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8504
TN
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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