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

ANNIE ELIZABETH CLARK, PA

Active

ANNIE ELIZABETH CLARK, PA is a Physician Assistant healthcare provider located in OWENS CROSS ROADS, Alabama. NPI 1114760204 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OWENS CROSS ROADS, AL

Registration Details

NPI Number
1114760204
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2024 (2.1343479217896 yrs)
Last Updated
Jun 17, 2024

Practice Information

Address
6602 HAMPTON BEND CIR SE
OWENS CROSS ROADS, AL, 357638200
Browse AL providers · Browse ZIP 35763
Phone
2566039685
Primary Specialty
Physician Assistant
363A00000X
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.