NPI 1619391893

Progressive Health Services LLC

Organisation Health Maintenance Organization Marietta, GA

Practice location

Address: 2440 Sandy Plains Rd Blg 21, Suite 100, Marietta, GA 30066-7217
Phone: (404) 402-8175
Fax: (678) 581-1836

Authorised official

Name: Emmanuel Wohiren
Title: Executive Director
Phone: (404) 402-8175

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1619391893
Entity type: Organization
NPI issued: 10 Feb 2014
Record last updated: 24 Feb 2014

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.