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Candra Lanette Mack, MD
Pediatrics Physician in Covington, Georgia
NPI 1487703153

Candra Lanette Mack is a Pediatrics Physician based in Covington, GA. Candra Lanette Mack practices in Covington, GA and has the professional credentials of MD. The NPI Number for Candra Lanette Mack is 1487703153 and holds a License No. TRN8908 (Georgia).

The current practice location address for Candra Lanette Mack is 4152 Baker Street, Ne, Covington, GA and can be reached out via phone at 770-788-1077 and via fax at 770-805-9329.

Location: 4152 Baker Street, Ne, Covington, GA, 30014-1404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487703153
Provider Name
Candra Lanette Mack
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4152 Baker Street, Ne, Covington, GA, 30014-1404
Phone Number
770-788-1077
Fax Number
770-805-9329
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
061000 01 GA MEDICAL LICENSE
510091718A 05 GA
institution
Provider Business Practice Location Address Details
Address
4152 Baker Street, Ne
City
Covington
State
Georgia
Zip
30014-1404
Phone Number
770-788-1077
Fax Number
770-805-9329
person
Provider Business Mailing Address Details
Address
4152 Baker Street, Ne
City
Covington
State
Georgia
Zip
30014-1404
Phone Number
770-788-1077
Fax Number
770-805-9329
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
TRN8908 (Florida)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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