Individual
CANDICE BROOKE SHOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 PARTNERSHIP WAY, COLUMBIA, MS 39429-4502
(601) 736-6443
(601) 736-2543
Mailing address
104 PARTNERSHIP WAY, COLUMBIA, MS 39429-4502
(601) 736-6443
(601) 736-2543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903165
MS
Other
Enumeration date
01/19/2019
Last updated
02/21/2021
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