Organization · Type 2 NPI
Progressive Medical Clinic LLC
Adult Medicine Physician · Dacula, GA
NPI number
1992301402
Active
Practice location
2098 Teron Trce Ste 300
Dacula, GA 30019-1667
Fax (678) 482-7788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
| General Practice Physician | 208D00000X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
3 other providers at this address
About NPI 1992301402
Progressive Medical Clinic LLC's National Provider Identifier is 1992301402, issued on Dec 9, 2020. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Dacula, GA. The record was last updated on Feb 19, 2021.