MEDICARE: DR. ELIZABETH D. NORWOOD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	046192	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578526539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH D. NORWOOD M.D.

Provider Business Mailing Address
First Line	:	1136 CLEVELAND AVE STE 308
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-3618
Country	:	US
Telephone Number	:	404-446-3900
Fax Number	:	404-806-6681

Provider Business Practice Location Address
First Line	:	1136 CLEVELAND AVE STE 308
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-3618
Country	:	US
Telephone Number	:	404-446-3900
Fax Number	:	404-806-6681

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	08/16/2022

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Directions to “ DR. ELIZABETH D. NORWOOD M.D.” Practice Location

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