Green, Candace L

Green, Candace L is an sole proprietor health care provider with primary practice located at 1245 Augusta West Pkwy , Augusta GA 30909-1807. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Green, Candace L can be contacted via phone (706) 868-0389.

Contact Information

Primary practice address
1245 Augusta West Pkwy Augusta GA 30909-1807
Phone: (706) 868-0389
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-303750

Profile Details

NPI number 1346910882
LBN Legal business name Green, Candace L
Credentials IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2021
Last updated Sep 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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