Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDIE CLARK
Active Sole ProprietorCANDIE CLARK is a Durable Medical Equipment & Medical Supplies healthcare provider located in VILLA RICA, Georgia. NPI 1619702289 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · VILLA RICA, GA
Registration Details
- NPI Number
- 1619702289
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 4, 2024 (1.9225559357695 yrs)
- Last Updated
- Sep 4, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1836 CARROLLTON VILLA RICA HWY STE 301VILLA RICA, GA, 301805195Browse GA providers · Browse ZIP 30180
- Phone
- 7707429375
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Other Durable Medical Equipment & Medical Supplies Providers in VILLA RICA, GA
| Name | Credential | NPI |
|---|---|---|
| EDWIN RICHARDSON | — | 1568931707 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.