Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH CLARK
Active Sole ProprietorELIZABETH CLARK is a Public Health / General Public Health healthcare provider located in ROSWELL, Georgia. NPI 1356706543 is currently active in the NPPES registry. Verify at CMS.
Public Health / General Public Health · ROSWELL, GA
Registration Details
- NPI Number
- 1356706543
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 15, 2015 (10.707597838005 yrs)
- Last Updated
- Dec 15, 2015
- License
-
24915 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
295 BROADMEADOW CVROSWELL, GA, 300752950Browse GA providers · Browse ZIP 30075
- Phone
- 7709937918
- Primary Specialty
-
Public Health / General Public Health
251K00000X
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.