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NPI Code Detail

MEDICARE: CANDICE MICHELLE THOMAS

MEDICARE:   CANDICE MICHELLE THOMAS
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
1174H00000XHealth Educator

General Provider Information

NPI Number : 1740135631
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE MICHELLE THOMAS
Provider Business Mailing Address
First Line : 2447 NORWOOD PARK XING
Second Line :
City : ATLANTA
State : GA
Zip : 30340-1857
Country : US
Telephone Number : 443-204-2367
Fax Number :
Provider Business Practice Location Address
First Line : 2447 NORWOOD PARK XING
Second Line :
City : ATLANTA
State : GA
Zip : 30340-1857
Country : US
Telephone Number : 443-204-2367
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ CANDICE MICHELLE THOMAS ” Practice Location

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