Organization
CANDID MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN PRESTON CAUDILL (MANAGING PARTNER)
(404) 718-9969
Entity
Organization
Contact information
Practice address
6525 PROFESSIONAL PL, SUITE C, RIVERDALE, GA 30274-2519
(770) 994-1250
(770) 994-1295
Mailing address
6525 PROFESSIONAL PL, SUITE C, RIVERDALE, GA 30274-2519
(770) 994-1250
(770) 994-1295
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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