Organization · Type 2 NPI
Proactive Healthcare Solutions, LLC
Clinic/Center · Conyers, GA
NPI number
1780958835
Active
Practice location
2434 Wall St SE, Suite A
Conyers, GA 30013-6760
Fax (770) 648-6682
Mailing address
741 Lynn Milam Ln
Conyers, GA 30094-4108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 5106 (GA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1780958835
Proactive Healthcare Solutions, LLC's National Provider Identifier is 1780958835, issued on Mar 6, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Conyers, GA. The record was last updated on Jul 25, 2016.