Organization · Type 2 NPI
Progressive Healthcare of Gwinnett LLC
General Practice Physician · Lilburn, GA
NPI number
1174892392
Active
Practice location
670 Indian Trail Lilburn Rd NW
Lilburn, GA 30047-1716
Fax (770) 925-3711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 37957 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
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- Proactive Collaboration LLCGeneral Practice Physician Lilburn, GA NPI 1861253437
About NPI 1174892392
Progressive Healthcare of Gwinnett LLC's National Provider Identifier is 1174892392, issued on Dec 16, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lilburn, GA. The record was last updated on Dec 16, 2011.