| Candece Tierney Ma | |
|
501 Centre St Ste 114 Fernandina Beach FL 32034-3936 | |
| (904) 491-8003 | |
| (904) 491-8007 |
| Full Name | Candece Tierney Ma |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 Centre St Ste 114, Fernandina Beach, Florida |
| Authorized Official Name and Position | Candece G Tierney (OWNER) |
| Authorized Official Contact | 9044918003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candece Tierney Ma 501 Centre St Ste 114 Fernandina Beach FL 32034-3936 Ph: (904) 491-8003 | Candece Tierney Ma 501 Centre St Ste 114 Fernandina Beach FL 32034-3936 Ph: (904) 491-8003 |
| NPI Number | 1598225310 |
|---|---|
| Provider Enumeration Date | 03/20/2019 |
| Last Update Date | 03/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598225310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
News Archive
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