Tillman, Candace Marvenia
Tillman, Candace Marvenia is an individual health care provider with primary practice located at 477 Windsor St. Sw Ste. 309, Atlanta GA 30312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Tillman, Candace Marvenia can be contacted via phone (404) 688-9202.Contact Information
Primary practice address
477 Windsor St. Sw Ste. 309
Atlanta GA 30312
Phone: (404) 688-9202
Fax: (404) 880-9435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | RN142932 | Georgia |
Profile Details
| NPI number | 1871865113 |
|---|---|
| LBN Legal business name | Tillman, Candace Marvenia |
| Credentials | RNC, MS, WHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2012 |
| Last updated | Feb 2nd, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871865113 | NPPES |
| Georgia | Other | RN142932 | STATE OF GEORGIA |
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