IndividualActive
Candace Butts, RN
NPI 1245194109 · Administrator Registered Nurse · Conyers, GA
Provider details
- NPI number
- 1245194109
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 139305 (GA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Nursing Service Providers
Practice location
974 Klondike Ct Sw Ste 102
Conyers, GA 30094-5185
Phone: (678) 680-3380
Approximate (ZIP-level) locationGet directions
Mailing address
974 Klondike Ct Sw Ste 102
Conyers, GA 30094-5185
Registry dates
- Enumerated
- 2025-12-15
- Last updated
- 2025-12-15
- Certified
- 2025-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.