Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CANDACE RENEE CLOCKER, M.D.
Active Sole ProprietorDR. CANDACE RENEE CLOCKER, M.D. is a Pediatrics healthcare provider located in SOUTH BOSTON, Virginia. NPI 1841488905 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SOUTH BOSTON, VA
Registration Details
- NPI Number
- 1841488905
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2007 (18.849771597353 yrs)
- Last Updated
- Mar 7, 2024
- Licenses
-
2013-01833 (NC)33110 (SC)0101261852 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2100 WILBORN AVESOUTH BOSTON, VA, 245921628Browse VA providers · Browse ZIP 24592
- Phone
- 4345178022
- Fax
- 4345178370
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Primary Care Clinic
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in SOUTH BOSTON, VA
| Name | Credential | NPI |
|---|---|---|
| NONNA LYN M EBALO | MD | 1861472524 |
| MARIA PRECIOUS TANGAN TORRES | MD | 1386612877 |
| SAMANTHA Y KING | MD | 1639147739 |
| AKPOMEVIGHO A AVBOVBO | — | 1649732884 |
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.