Most Relevant Information
Provider Data
| NPI Number: | 1003073990 |
| Provider Name: | KANDACE DANIELLE ALLEN MARKHAM PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 1722 |
Most Important Dates
| Enumeration Date: | 05/19/2008 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
501 SPARTA RD STE F
SANDERSVILLE
GA
310821392
Practice Location Phone/Fax
| Phone: | 4785520001 |
| Fax: | 4785520048 |
Provider Mailing Location
501 SPARTA RD STE F
SANDERSVILLE
GA
310821392
Provider Mailing Phone/Fax
| Phone: | 4785520001 |
| Fax: | 4785520048 |