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Contact Information

EILIS CLARK, MD
2066 NC-125
ROANOKE RAPIDS, NC27870
 Phone: 252-536-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for EILIS CLARK · (Female)

NPI # 1073621215
Status Active
Credentials MD
Entity Individual
Enumeration date 08/28/2006
Last updated 03/20/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME80041
  • NC License # 9601164
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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