Individual
CANDACE H WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
303 SMITH STREET, CLARK-HOLDER CLINIC, P.A., LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4091
Mailing address
303 SMITH STREET, CLARK-HOLDER CLINIC, P.A., LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
100010
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
100010
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
100010
GA
Other
Enumeration date
06/22/2006
Last updated
09/11/2025
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