Dr. Candace Renee Clocker
M.D. | Pediatrics | Female
Dr. Candace Renee Clocker, M.D. is a South Boston, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Candace Renee Clocker is
2100 Wilborn Ave, South Boston, Virginia - 24592-1628. She can be contacted on phone at
434-517-8022 and fax number 434-517-8370.
Dr. Candace Renee Clocker is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Candace Renee Clocker is
1841488905 which was assigned by NPPES on 12 Oct, 2007 and it was last updated on 23 Nov, 2020.
Dr. Candace Renee Clocker license number is
0101261852 for Pediatrics (208000000X) in Virginia.
Dr. Candace Renee Clocker is a pediatrician who 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.
Complete Profile:
Dr. Candace Renee Clocker basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Candace Renee Clocker |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Candace Renee Clocker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2100 Wilborn Ave
South Boston, VA, 24592-1628
United States |
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| Phone Number : | 434-517-8022 |
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| Fax Number : | 434-517-8370 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841488905 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Oct, 2007 |
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| Last Updated On : | 23 Nov, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Candace Renee Clocker are as mentioned. Primary taxonomy code for Dr. Candace Renee Clocker, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0101261852 | VA |
| 261QP2300X | Clinic/Center Primary Care | No | 33110 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Candace Renee Clocker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 33110 | Other | SC | LICENSE NUMBER |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2100 Wilborn Ave
South Boston, VA, 24592-1628
United States |
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| Phone Number : | 434-517-8022 |
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| Fax Number : | 434-517-8370 |
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Business Location:
Patients can refer following map for directions to
Dr. Candace Renee Clocker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.