Organization
PROGRESSIVE CARE OF GWINNETT LLC
Active
Other names
Progressive Healthcare of Gwinnett
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEDA NORE DC (OWNER)
(770) 925-0088
Entity
Organization
Contact information
Practice address
651 INDIAN TRAIL LILBURN RD NW, LILBURN, GA 30047-6838
(770) 925-0088
(770) 925-3711
Mailing address
651 INDIAN TRAIL LILBURN RD NW, LILBURN, GA 30047-6838
(770) 925-0088
(770) 925-3711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064758
UPTOM
GA
Enumeration date
04/01/2019
Last updated
07/13/2024
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