Candra Lanette Mack M.D.

  • NPI 1487703153
According to our database, the NPI number for Candra Lanette Mack M.D. is 1487703153 and activated since 17 years ago. Candra Lanette Mack M.D. is an individual provider who specializes in Pediatrics, and the primary practice location is 4152 Baker Street, Ne, Covington, GA 30014. You can also contact Candra Lanette Mack M.D. via telephone number is (770) 788-1077. Provider NPI information was last updated on 03/19/2014.

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Overview of Candra Lanette Mack M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/10/2007
  • Last updated: 03/19/2014

Primary Scrop of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: 61000
  • License State: GA

Provider Mailing Address

  • Address: 4152 Baker Street, Ne
    Covington, GA 30014
  • Phone: 770-788-1077
  • Fax: 770-805-9329

Provider Practice Location

  • Address: 4152 Baker Street, Ne
    Covington, GA 30014
  • Phone: 770-788-1077
  • Fax: 770-805-9329

Scope of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: 61000
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 061000
  • Identifier Type: Other
  • Identifier State: GA
  • Issuer: MEDICAL LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Candra Lanette Mack M.D.?
  • A: The npi number for Candra Lanette Mack M.D. is 1487703153.
  • Q: What are Candra Lanette Mack M.D.'s specialties?
  • A: Candra Lanette Mack M.D.'s specialties are Pediatrics and different specialities.
  • Q: What is the medical license for Candra Lanette Mack M.D.?
  • A: The medical license number for Candra Lanette Mack M.D. is 61000 and issued in GA in USA.
  • Q: Where is Candra Lanette Mack M.D. practice location?
  • A: Candra Lanette Mack M.D. is practicing at 4152 Baker Street, Ne, Covington, GA 30014.
  • Q: How to contact Candra Lanette Mack M.D.?
  • A: You can contact Candra Lanette Mack M.D. via 770-788-1077.