Individual
CANDACE ROSE MUSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2262
(912) 384-1900
Mailing address
67 KINGSRIDGE DR, BROXTON, GA 31519-6543
(912) 592-5563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217571
GA
Other
Enumeration date
03/09/2020
Last updated
03/10/2020
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