Wortham, Candace H
Wortham, Candace H is an individual health care provider with primary practice located at 303 Smith Street Clark-Holder Clinic, P.A., Lagrange GA 30240. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wortham, Candace H can be contacted via phone (706) 882-8831.Contact Information
Primary practice address
303 Smith Street Clark-Holder Clinic, P.A.
Lagrange GA 30240
Phone: (706) 882-8831
Fax: (706) 812-4091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 100010 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 100010 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 100010 | Georgia |
Profile Details
| NPI number | 1902842263 |
|---|---|
| LBN Legal business name | Wortham, Candace H |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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