Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candra Lanette Mack, MD

Individual provider Pediatrics Physician · NPI 1487703153

Candra Lanette Mack, MD is a Pediatrics Physician in Covington, Georgia. Licensed in Florida and Georgia. Registered with an NPI since 2007.

Licensed in
FL, GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4152 Baker St NE
Covington, GA 30014-1404
Phone: (770) 788-1077
Fax: (770) 805-9329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 61000 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence TRN8908 (FL)

Record details

NPI number1487703153
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESMarch 7, 2023
Mailing address4152 Baker Street, Ne, Covington, GA 30014-1404

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