| Candler Internal Medicine | |
|
106 Briarwood Rd Statesboro GA 30458-2459 | |
| (912) 871-5000 | |
| (912) 681-1444 |
| Full Name | Candler Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 106 Briarwood Rd, Statesboro, Georgia |
| Authorized Official Name and Position | Rani S. Reddy (OWNER) |
| Authorized Official Contact | 9128715000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Candler Internal Medicine Po Box 2029 Statesboro GA 30459-2029 Ph: (912) 871-5000 | Candler Internal Medicine 106 Briarwood Rd Statesboro GA 30458-2459 Ph: (912) 871-5000 |
| NPI Number | 1689893653 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 05/19/2009 |
| Medicare PECOS PAC ID | 2567457831 |
|---|---|
| Medicare Enrollment ID | O20040416000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689893653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Erica Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114430774 PECOS PAC ID: 0648532051 Enrollment ID: I20180926003345 |
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