CANDICE TATE

MACON, GA
NPI1346623493
Former NameCANDICE FAYE SPELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN187247)
Enumeration Date2015-07-08
Last Update Date2015-07-08
Business Address
-- CANDICE TATE NP-C
1600 FORSYTH ST
MACON, GA 31201-1408
Phone number: 478-743-1000
Mailing Address
-- CANDICE TATE NP-C
1600 FORSYTH ST
MACON, GA 31201-1408
Phone number: 478-743-1000
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