| Organization Name: | GEORGIA CLINICAL RESEARCH, LLC |
| NPI Number: | 1073933867 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLENDA M BURTON (PRESIDENT) |
| Mailing Address: | 2121 Fountain Dr Ste A Snellville |
| State: | GA US |
| Postal Code: | 300782900 |
| Phone Number: | 6788225582 |
| Fax Number: | 6788225582 |
| NPI Enumeration Date: | 04/21/2014 |
| NPI Last Update Date: | 04/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Research |
| Taxonomy Definition: | |