Candice Renee Gaultney, LMT is a
Massage Therapist based in Manchester, Georgia. Candice Renee Gaultney is licensed to practice in Georgia (license number MT006116) and her current practice location is
102 W 2nd St, Manchester, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 846-8337.
NPI number for Candice Renee Gaultney is 1942616008 and her current mailing address is 102 W 2nd St, Manchester, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942616008.
Healthcare Provider's Profile
| Full Name | Candice Renee Gaultney |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
|---|
| Location | 102 W 2nd St, Manchester, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942616008
- Provider Enumeration Date: 07/09/2014
- Last Update Date: 07/09/2014
Medical Identifiers
Medical identifiers for Candice Renee Gaultney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942616008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT006116 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candice Renee Gaultney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Candice Renee Gaultney, LMT
102 W 2nd St,
Manchester, GA 31816-1647
Ph: (706) 846-8337 | Candice Renee Gaultney, LMT
102 W 2nd St,
Manchester, GA 31816
Ph: (706) 846-8337 |
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