Provider Demographics
NPI:1417343088
Name:BENOIT-PINETTE, CANDACE (MD)
Entity Type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:
Last Name:BENOIT-PINETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CANDACE
Other - Middle Name:
Other - Last Name:BENOIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:433 HIGHLAND PKWY STE 203
Mailing Address - Street 2:
Mailing Address - City:ELLIJAY
Mailing Address - State:GA
Mailing Address - Zip Code:30540-7658
Mailing Address - Country:US
Mailing Address - Phone:770-721-9420
Mailing Address - Fax:706-698-6402
Practice Address - Street 1:433 HIGHLAND PKWY STE 203
Practice Address - Street 2:
Practice Address - City:ELLIJAY
Practice Address - State:GA
Practice Address - Zip Code:30540-7658
Practice Address - Country:US
Practice Address - Phone:770-721-9420
Practice Address - Fax:706-698-6402
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA98942207V00000X
390200000X
OH35.135539207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program