Provider Demographics
NPI:1578526539
Name:NORWOOD, ELIZABETH D (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:D
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:E.
Other - Middle Name:DORSEY
Other - Last Name:NORWOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1136 CLEVELAND AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-3618
Mailing Address - Country:US
Mailing Address - Phone:404-446-3900
Mailing Address - Fax:404-806-6681
Practice Address - Street 1:1136 CLEVELAND AVE STE 308
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-3618
Practice Address - Country:US
Practice Address - Phone:404-446-3900
Practice Address - Fax:404-806-6681
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA046192208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA894980142AMedicaid