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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EILIS CLARK, MD

Active Sole Proprietor

DR. EILIS CLARK, MD is a Psychiatry healthcare provider located in ROANOKE RAPIDS, North Carolina. NPI 1073621215 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · ROANOKE RAPIDS, NC

Registration Details

NPI Number
1073621215
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2006 (19.952295806291 yrs)
Last Updated
Mar 20, 2025
Licenses
ME80041 (FL)
ME80041 (FL)
9601164 (NC)
Sole Proprietor
Yes

Practice Information

Address
2066 NC-125
ROANOKE RAPIDS, NC, 27870
Browse NC providers · Browse ZIP 27870
Phone
2525362000
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry
Additional Specialty
Psychiatry

Other Psychiatry Providers in ROANOKE RAPIDS, NC

Name Credential NPI
DR. RAVINDER MAMEDI M.D. 1972554541
KAREN R BALLOU MD 1639183643
DR. HOLLY VIRGINIA MACKENNA M.D. 1487668976
DR. RAMAMOHANA PRASAD DEGALA M.D 1417152687
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.