Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROGRESSIVE MEDICAL CLINIC LLC
Active OrganizationPROGRESSIVE MEDICAL CLINIC LLC is a Adolescent Medicine organization located in DACULA, Georgia. NPI 1992301402 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · DACULA, GA
Registration Details
- NPI Number
- 1992301402
- Provider Type
- Organization
- NPI Issued
- Dec 9, 2020 (5.7097916093485 yrs)
- Last Updated
- Feb 19, 2021
Practice Information
- Address
-
2098 TERON TRCE STE 300DACULA, GA, 300191667Browse GA providers · Browse ZIP 30019
- Phone
- 7706144060
- Fax
- 6784827788
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.