Organization
PROACTIVE PHYSICIANS OF MARIETTA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SCOTT MILLS MD (COO)
(678) 794-2216
Entity
Organization
Contact information
Practice address
790 CHURCH ST NE, SUITE 220, MARIETTA, GA 30060-7282
(678) 753-9300
(678) 753-9300
Mailing address
790 CHURCH ST NE, SUITE 220, MARIETTA, GA 30060-7282
(678) 753-9300
(678) 753-9300
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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