Candie Clark
NPI #1619702289 in Villa Rica, Georgia
Provider Information
- NPI Number
- 1619702289
- Entity Type
- Individual
- Name
- Candie Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 4, 2024
- Last Updated
- Sep 4, 2024
Practice Location
- Address
- 1836 CARROLLTON VILLA RICA HWY STE 301
- City
- Villa Rica
- State
- Georgia
- ZIP Code
- 30180-5195
- Phone
- (770) 742-9375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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