MRS. KANDACE DANIELLE ALLEN MARKHAM PA NPI 1003073990

NPI Information

NPI: 1003073990
Provider Name: MRS. KANDACE DANIELLE ALLEN MARKHAM, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
501 SPARTA RD STE F
SANDERSVILLE, GA
ZIP 31082
Phone: (478) 552-0001
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MRS. Kandace Danielle Allen Markham, PA is a medical physician assistant in Sandersville, GA. MRS. Kandace Danielle Allen Markham, PA NPI is 1003073990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

501 SPARTA RD STE F
SANDERSVILLE, GA
ZIP 31082-392
Phone: (478) 552-0001
Fax: (478) 552-0048

The enumeration date for this NPI number is 5/19/2008 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1722	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	899248448B	MEDICAID	GEORGIA
2	899248448A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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