Individual provider · Type 1 NPI
Candie Clark
Durable Medical Equipment & Medical Supplies · Villa Rica, GA
NPI number
1619702289
Active
Practice location
1836 Carrollton Villa Rica Hwy Ste 301
Villa Rica, GA 30180-5195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Other durable medical equipment & medical supplies providers in Villa Rica
About NPI 1619702289
Candie Clark's National Provider Identifier is 1619702289, issued on Sep 4, 2024. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Villa Rica, GA. The record was last updated on Sep 4, 2024.