NPI 1003356361

Proactive Physicians of Marietta, PC

Organisation Primary Care Clinic/Center Marietta, GA

Practice location

Address: 790 Church St NE Suite 220, Marietta, GA 30060-7282
Phone: (678) 753-9300
Fax: (678) 753-9300

Authorised official

Name: Richard Scott Mills
Title: Coo
Phone: (678) 794-2216

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Georgia →

Registry record

NPI: 1003356361
Entity type: Organization
NPI issued: 6 Mar 2017
Record last updated: 6 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.