Organization · Type 2 NPI
Proactive MD Ga, LLC
Primary Care Clinic/Center · Lawrenceville, GA
NPI number
1780340117
Active
Practice location
1600 N Brown Rd
Lawrenceville, GA 30043-8141
Mailing address
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1780340117
Proactive MD Ga, LLC's National Provider Identifier is 1780340117, issued on Nov 10, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lawrenceville, GA. The record was last updated on Aug 31, 2026.