Provider Demographics
NPI:1033749288
Name:ATLANTA CLINICAL RESEARCH CENTERS LLC
Entity Type:Organization
Organization Name:ATLANTA CLINICAL RESEARCH CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:V
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-296-1130
Mailing Address - Street 1:5673 PEACHTREE DUNWOODY RD STE 440
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1797
Mailing Address - Country:US
Mailing Address - Phone:404-296-1130
Mailing Address - Fax:404-600-4466
Practice Address - Street 1:5673 PEACHTREE DUNWOODY RD STE 440A
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1797
Practice Address - Country:US
Practice Address - Phone:404-296-1130
Practice Address - Fax:404-600-4466
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTA CLINICAL RESEARCH CENTERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty