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NPI Code Detail

MEDICARE: DR. CANDACE TENISE MCMILLON-DANTLEY D.C.

MEDICARE: DR. CANDACE TENISE MCMILLON-DANTLEY D.C.
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
1111N00000XChiropractorCH 10197FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861796138
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CANDACE TENISE MCMILLON-DANTLEY D.C.
Provider Business Mailing Address
First Line : 2804 REMINGTON GREEN CIR STE 2
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-1550
Country : US
Telephone Number : 850-385-4494
Fax Number : 850-298-6054
Provider Business Practice Location Address
First Line : 1249 STRONG RD
Second Line :
City : QUINCY
State : FL
Zip : 32351-5248
Country : US
Telephone Number : 850-298-6082
Fax Number : 850-627-2786
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2010
Last Update Date : 04/18/2017

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