Individual
CANDACE LANE ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
546 W BACON ST, PEMBROKE, GA 31321-4648
(912) 653-1000
(912) 295-4667
Mailing address
546 W BACON ST, PEMBROKE, GA 31321-4648
(912) 653-1000
(912) 295-4667
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031811
GA
Other
Enumeration date
03/21/2020
Last updated
03/21/2020
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