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CANDIE CLARK
NPI 1619702289
Durable Medical Equipment & Medical Supplies in Villa Rica, GA

Active since September 04, 2024
1836 CARROLLTON VILLA RICA HWY STE 301, VILLA RICA, GA 30180(770) 742-9375 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candie Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDIE CLARK (NPI 1619702289) is an individual durable medical equipment & medical supplies provider in Villa Rica, Georgia and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1619702289
Entity TypeIndividualFemale
Primary Taxonomy332B00000X
Provider Legal NameCANDIE CLARK
Location Address1836 CARROLLTON VILLA RICA HWY STE 301Villa Rica, GA 30180-5195
Mailing Address1836 Carrollton Villa Rica Hwy Ste 301Villa Rica, GA 30180-5195 · (770) 742-9375
Phone(770) 742-9375
Sole ProprietorYes
Enumeration DateSeptember 4, 2024
NPPES CertifiedAugust 12, 2024
✔ NPI 1619702289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
1836 CARROLLTON VILLA RICA HWY STE 301, Villa Rica, GA 30180
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candie Clark's NPI number?

The NPI number for Candie Clark is 1619702289. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Where is Candie Clark located?

Candie Clark practices at 1836 Carrollton Villa Rica Hwy Ste 301, Villa Rica, GA 30180. The listed phone number is (770) 742-9375.

What is Candie Clark's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Candie Clark was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.