Organization
ONE HEALTH RESEARCH CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA FISCHER (SITE DIRECTOR)
(678) 585-4917
Entity
Organization
Contact information
Practice address
5430 JIMMY CARTER BLVD, SUITE 200B, NORCROSS, GA 30093-1517
(678) 585-4917
(678) 691-8129
Mailing address
5430 JIMMY CARTER BLVD, SUITE 200B, NORCROSS, GA 30093-1517
(678) 585-4917
(678) 691-8129
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
30147
GA
170100000X
Ph.D. Medical Genetics
35421
GA
170100000X
Ph.D. Medical Genetics
Primary
9270
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225028947
1225028947
GA
01
—
1235345588
1235345588
—
01
—
1669555819
1669555819
GA
01
—
1710088505
1710088505
GA
Enumeration date
05/04/2017
Last updated
05/04/2017
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