Candie Clark
Candie Clark is a Durable Medical Equipment & Medical Supplies in Villa Rica, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1836 Carrollton Villa Rica Hwy Ste 301Villa Rica, GA 30180-5195
Phone: (770) 742-9375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1619702289 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 4, 2024 |
| Last updated in NPPES | September 4, 2024 |
| Certification date | August 12, 2024 |
| Mailing address | 1836 Carrollton Villa Rica Hwy Ste 301, Villa Rica, GA 30180-5195 |
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