1841305968 NPI number — AMARC MEDICAL RESEARCH CLINICAL,INC

Table of content: (NPI 1841305968)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841305968 NPI number — AMARC MEDICAL RESEARCH CLINICAL,INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMARC MEDICAL RESEARCH CLINICAL,INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FAMILY MEDICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841305968
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5775 JIMMY CARTER BOULEVARD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORCROSS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30071
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-446-2684
Provider Business Mailing Address Fax Number:
770-446-2686

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5775 JIMMY CARTER BOULEVARD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORCROSS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30071
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-446-2684
Provider Business Practice Location Address Fax Number:
770-446-2686
Provider Enumeration Date:
08/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ILONZO
Authorized Official First Name:
GODFREY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
770-912-8180

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com