| Candra Lanette Mack, MD | |
|
4152 Baker Street, Ne, Covington, GA 30014-1404 | |
| (770) 788-1077 | |
| (770) 805-9329 |
| Full Name | Candra Lanette Mack |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4152 Baker Street, Ne, Covington, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487703153 | NPI | - | NPPES |
| 061000 | Other | GA | MEDICAL LICENSE |
| 510091718A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | TRN8908 (Florida) | Secondary |
| 208000000X | Pediatrics | 61000 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Candra Lanette Mack, MD 4152 Baker Street, Ne, Covington, GA 30014-1404 Ph: (770) 788-1077 | Candra Lanette Mack, MD 4152 Baker Street, Ne, Covington, GA 30014-1404 Ph: (770) 788-1077 |
Dr. Lynette S Jattan-cunningham, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7138 Highway 212 Ste C, Covington, GA 30016 Phone: 770-788-1554 | |
Samira L Brown, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7143 Turner Lake Rd Nw, Covington, GA 30014 Phone: 770-784-3980 | |
Juliana N Nahas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4181 Hospital Dr, Ste 202, Covington, GA 30014 Phone: 770-787-7444 Fax: 770-787-5050 | |
Dr. Alyssa Gamble, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4152 Baker St Ne, Covington, GA 30014 Phone: 770-788-1077 Fax: 770-788-0768 | |
Faull Sanders Trover, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4155 Baker St Ne, Covington, GA 30014 Phone: 770-787-4122 Fax: 770-787-4655 | |
Miss Amanda Vallen Head, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5211 Highway 278 Ne, Covington, GA 30014 Phone: 770-787-7444 Fax: 770-787-5050 |