Individual
CANDIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 CARROLLTON VILLA RICA HWY STE 301, VILLA RICA, GA 30180-5195
(770) 742-9375
Mailing address
1836 CARROLLTON VILLA RICA HWY STE 301, VILLA RICA, GA 30180-5195
(770) 742-9375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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