ELIZABETH CLARK
NPI 1356706543
Public Health or Welfare in Roswell, GA

Active since December 15, 2015
295 BROADMEADOW CV, ROSWELL, GA 30075(770) 993-7918 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Elizabeth Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH CLARK (NPI 1356706543) is an individual public health or welfare provider in Roswell, Georgia, licensed in Georgia (24915) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1356706543
Entity TypeIndividualFemale
Primary Taxonomy251K00000X
Provider Legal NameELIZABETH CLARK
Location Address295 BROADMEADOW CVRoswell, GA 30075-2950
Mailing Address295 Broadmeadow CvRoswell, GA 30075-2950 · (770) 993-7918
Sole ProprietorYes
Enumeration DateDecember 15, 2015
NPI 1356706543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
License Licensed in GA · 24915
295 BROADMEADOW CV, Roswell, GA 30075

Other Identifiers 1

Medicare UPIND45068GA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
295 BROADMEADOW CV
ROSWELL, GA 30075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Clark's NPI number?

The NPI number for Elizabeth Clark is 1356706543. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Where is Elizabeth Clark located?

Elizabeth Clark practices at 295 Broadmeadow Cv, Roswell, GA 30075. The listed phone number is (770) 993-7918.

What is Elizabeth Clark's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Clark was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.