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Ms. Candace Marvenia Tillman, RNC,MS,WHNP-BC
Adult Health Nurse Practitioner in Conyers, Georgia
NPI 1871865113

Candace Marvenia Tillman is an Adult Health Nurse Practitioner based in Conyers, GA and is specialized in Adult Health. Candace Marvenia Tillman practices in Conyers, GA and has the professional credentials of RNC,MS,WHNP-BC. The NPI Number for Candace Marvenia Tillman is 1871865113 and holds a License No. RN142932 (Georgia).

The current practice location address for Candace Marvenia Tillman is 3230 Old Church Cv Ne, Conyers, GA and can be reached out via phone at 678-221-8855.

Location: 3230 Old Church Cv Ne, Conyers, GA, 30012-2647
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Provider Profile Details
NPI Number
1871865113
Provider Name
Candace Marvenia Tillman
Credential
RNC,MS,WHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3230 Old Church Cv Ne, Conyers, GA, 30012-2647
Phone Number
678-221-8855
Fax Number
Provider Enumeration Date
02/02/2012
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN142932 01 GA STATE OF GEORGIA
institution
Provider Business Practice Location Address Details
Address
3230 Old Church Cv Ne
City
State
Zip
30012-2647
Phone Number
678-221-8855
Fax Number
person
Provider Business Mailing Address Details
Address
3230 Old Church Cv Ne
City
State
Zip
30012-2647
Phone Number
678-221-8855
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
RN142932 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
RN142932 (Georgia)
Definition
Definition to come...
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