# PROGRESSIVE HEALTHCARE & DIAGNOSTICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295181261
- **Authorized official:** MARY LEACH (BILLING COLLECTION)
- **Authorized official phone:** (678) 736-6342

## Contact information

- **Practice address:** 4646 N SHALLOWFORD RD, ATLANTA, GA 30338-6308
- **Practice address phone:** (678) 736-6343
- **Practice address fax:** (678) 990-0940
- **Mailing address:** 303 PERIMETER CTR N STE 300, ATLANTA, GA 30346-3401
- **Mailing address phone:** (678) 736-6343
- **Mailing address fax:** (678) 990-0940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2016
- **Last updated:** 05/10/2016