NPI 1053946004

Proactive Medical Center LLC

Organisation General Practice Physician Duluth, GA

Practice location

Address: 3455 Peachtree Industrial Blvd STE 910, Duluth, GA 30096-6502
Phone: (678) 584-5000

Authorised official

Name: Andrew Hyun
Title: Employee
Phone: (770) 367-3325

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Georgia →

Registry record

NPI: 1053946004
Entity type: Organization
NPI issued: 10 Mar 2020
Record last updated: 27 Apr 2021

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.