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NPI Code Detail

MEDICARE: CANDACE MICHELE GATES NP

MEDICARE: CANDACE MICHELE GATES NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN179257GA
2367A00000XAdvanced Practice Midwife41986TN

General Provider Information

NPI Number : 1770974594
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE MICHELE GATES NP
Provider Business Mailing Address
First Line : 130 BYRD WAY
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-8937
Country : US
Telephone Number : 478-922-9136
Fax Number : 478-923-6846
Provider Business Practice Location Address
First Line : 130 BYRD WAY
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-8937
Country : US
Telephone Number : 478-922-9136
Fax Number : 478-923-6846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2015
Last Update Date : 05/11/2026

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