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Elizabeth Clark
NPI 1356706543 · on the registry since 2015 · sole proprietor
Practice
- Address
- 295 Broadmeadow Cv
Roswell, GA 30075 - Phone
- (770) 993-7918
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 251K00000X
251K00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia