Individual provider · Type 1 NPI

Elizabeth Anne Clark, MD, MPH

Student in an Organized Health Care Education/Training Program · Charlotte, NC

NPI number 1295430700 Active

Practice location

1000 Blythe Blvd, Suite 601
Charlotte, NC 28203-5812

Call (704) 355-7874 Map

Fax (704) 355-5619

Mailing address

1204 Copper Hill Road, PO Box 169
Glen Haven, CO 80532

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295430700

Elizabeth Anne Clark, MD, MPH's National Provider Identifier is 1295430700, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 3, 2023.