Wisemen Clinical Research Group, Llc

NPI 1104204718 - Clinic/Center - 261QR1100X

NPI Details
NPI 1104204718
Enumeration Date 05/14/2015
Last Updated 05/14/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANTHONETTE LOUISE ANTHONETTE
Position BUSINESS MANAGER
Phone (404) 474-1224
Fax (404) 891-0391
Practice Location
3300 MEMORIAL DR
SUITE D-1
DECATUR GA, 30032-2700, US
Phone (404) 474-1224
Fax (404) 891-0391
Business Location
3300 MEMORIAL DR
SUITE D-1
DECATUR GA, 30032-2700, US
Phone (404) 474-1224
Fax (404) 891-0391
Toxanomy
Taxonomy Code 261QR1100X
License State
License Number
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According to our database, Wisemen Clinical Research Group, Llc NPI is 1104204718, taxonomy code is 261QR1100X Wisemen Clinical Research Group, Llc physically located at 3300 Memorial Dr, Decatur GA, 30032-2700. NPI Number 1033115704 has the healthcare provider type.

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1104204718 NPI number is provided on an as is basis without warranty of any kind. 1104204718 is maintained by the National Plan & Provider Enumeration System. The contents of Wisemen Clinical Research Group, Llc are for informational purposes only.