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Individual

CANDICE CHERYL DARVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1550 KENNESAW DUE WEST RD NW # 100, KENNESAW, GA 30152-4338
(943) 202-8520
(470) 986-7301
Mailing address
1550 KENNESAW DUE WEST RD NW # 100, KENNESAW, GA 30152-4338
(943) 202-8520
(470) 986-7301

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
080487
GA
207R00000X
Internal Medicine Physician
80487
GA
208000000X
Pediatrics Physician
080487
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003207461A
GA
Enumeration date
03/20/2013
Last updated
12/29/2025
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