Organization
PROGRESSIVE HEALTHCARE & DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LEACH (BILLING COLLECTION)
(678) 736-6342
Entity
Organization
Contact information
Practice address
4646 N SHALLOWFORD RD, ATLANTA, GA 30338-6308
(678) 736-6343
(678) 990-0940
Mailing address
303 PERIMETER CTR N STE 300, ATLANTA, GA 30346-3401
(678) 736-6343
(678) 990-0940
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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