MEDICARE: CANDACE V BILLINGS LAC

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
1	171100000X	Acupuncturist	236	TN

General Provider Information

NPI Number	:	1437510583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDACE V BILLINGS LAC

Provider Business Mailing Address
First Line	:	3710 JOHNWOOD DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38122-4605
Country	:	US
Telephone Number	:	901-481-2093
Fax Number	:

Provider Business Practice Location Address
First Line	:	3710 JOHNWOOD DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38122-4605
Country	:	US
Telephone Number	:	901-481-2093
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2016
Last Update Date	:	03/17/2016

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Directions to “ CANDACE V BILLINGS LAC” Practice Location

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