Organization
PROACTIVE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HYUN (EMPLOYEE)
(770) 367-3325
Entity
Organization
Contact information
Practice address
3455 PEACHTREE INDUSTRIAL BLVD STE 910, DULUTH, GA 30096-6502
(678) 584-5000
Mailing address
3455 PEACHTREE INDUSTRIAL BLVD STE 910, DULUTH, GA 30096-6502
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
04/27/2021
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