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ONE HEALTH RESEARCH CLINIC INC NPI 1225564677


NPI Information

NPI: 1225564677
Provider Name: ONE HEALTH RESEARCH CLINIC, INC
Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
Entity Type: Organization

CLIA Number: 11D2120629

Address:
5430 JIMMY CARTER BLVD
SUITE 200B
NORCROSS, GA
ZIP 30093
Phone: (678) 585-4917
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ONE HEALTH RESEARCH CLINIC, INC is a medical genetics phd medical genetics in Norcross, GA. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. ONE HEALTH RESEARCH CLINIC, INC NPI is 1225564677. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5430 JIMMY CARTER BLVD
SUITE 200B
NORCROSS, GA
ZIP 30093-517
Phone: (678) 585-4917
Fax: (678) 691-8129

The provider's authorized official is Sylvia Fischer .
The authorized official title is Site Director and has the following contact phone number (678) 585-4917.

The CLIA number assigned to this NPI record is 11D2120629 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2017 and was last updated on 5/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1170100000XMedical Genetics, Ph.D. Medical Genetics30147GEORGIANo
2170100000XMedical Genetics, Ph.D. Medical Genetics35421GEORGIANo
3170100000XMedical Genetics, Ph.D. Medical Genetics9270GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11669555819OTHERGEORGIA1669555819
21710088505OTHERGEORGIA1710088505
31225028947OTHERGEORGIA1225028947
41235345588OTHER1235345588

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.