NPI 1164163952

Proactive Medical Clinic Corp

Organisation General Practice Physician Duluth, GA

Practice location

Address: 3455 Peachtree Industrial Blvd STE 910, Duluth, GA 30096-6502
Phone: (678) 584-5000
Fax: (678) 212-4040

Authorised official

Name: Andrew Hyun
Title: Ceo
Phone: (678) 584-5000

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Georgia →

Registry record

NPI: 1164163952
Entity type: Organization
NPI issued: 5 Apr 2022
Record last updated: 5 Apr 2022

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.