Individual
CANDLER KIMSEY BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 S. KNGS DR, 3RD FLOOR, CHARLOTTE, NC 28207
(704) 466-1242
(704) 446-1241
Mailing address
208 ZURICH PL, SAUTEE NACOOCHEE, GA 30571-3508
(706) 969-2970
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
06/26/2023
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