Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candra Lanette Mack, MD

Individual provider Pediatrics Physician · NPI 1487703153

Candra Lanette Mack, MD is a Pediatrics Physician in Covington, Georgia. Licensed in Florida and Georgia. Registered with an NPI since 2007.

Licensed in
FL, GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4152 Baker St NE
Covington, GA 30014-1404
Phone: (770) 788-1077
Fax: (770) 805-9329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 61000 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence TRN8908 (FL)

Record details

NPI number1487703153
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESMarch 7, 2023

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