Provider Demographics
NPI:1942555461
Name:GUARDIAN RESEARCH GROUP, INC.
Entity Type:Organization
Organization Name:GUARDIAN RESEARCH GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-507-5660
Mailing Address - Street 1:6400 BRADLEY PARK DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-3615
Mailing Address - Country:US
Mailing Address - Phone:706-507-5660
Mailing Address - Fax:706-507-5733
Practice Address - Street 1:6400 BRADLEY PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3615
Practice Address - Country:US
Practice Address - Phone:706-507-5660
Practice Address - Fax:706-507-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11077869261QR1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch