Individual
CANDACE JAQUAY WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5353 REYNOLDS STREET, SUITE 107, SAVANNAH, GA 31405
(912) 819-7630
(912) 819-5860
Mailing address
5353 REYNOLDS STREET, SUITE 107, SAVANNAH, GA 31405
(912) 819-7630
(912) 819-5860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN175983
GA
Other
Enumeration date
01/24/2020
Last updated
08/11/2023
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