Doctor Name: | CANDRA LANETTE MACK |
NPI Number: | 1487703153 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | TRN8908 |
Business Practice Address: | 4152 Baker Street, Ne Covington, GA - 300141404 |
Business Phone Number: | 7707881077 |
Business Fax Number: | 7708059329 |
Mailing Address: | 4152 Baker Street, Ne, COVINGTON |
State: | GA |
Postal Code: | 300141404 |
Phone Number: | 7707881077 |
Fax Number: | 7708059329 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | TRN8908 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy 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. |