# PRO HEALTHCARE & DIAGNOSTICS, LLC

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

## Provider details

- **NPI number:** 1578803524
- **Authorized official:** MRS. MARY LEACH (FINANCE LEADER)
- **Authorized official phone:** (678) 736-6342

## Contact information

- **Practice address:** 4646 N SHALLOWFORD RD, ATLANTA, GA 30338-6308
- **Practice address phone:** (678) 736-6342
- **Mailing address:** 2090 DUNWOODY CLUB DR STE 106-241, ATLANTA, GA 30350-5434
- **Mailing address phone:** (678) 736-6342

## Taxonomy

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

## Other

- **Enumeration date:** 02/27/2013
- **Last updated:** 02/27/2013
