Individual
KRYSTAL E CANADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
770 WALNUT ST, MACON, GA 31201-7307
(478) 787-4266
(478) 787-4199
Mailing address
PO BOX 4363, MACON, GA 31208-4363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
#F0207110
GA
Other
Enumeration date
08/10/2007
Last updated
08/04/2015
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