Organization
PROGRESSIVE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE E ROSS MD (DIRECTOR/PHYSICIAN)
(404) 966-0324
Entity
Organization
Contact information
Practice address
2131 PACE ST, COVINGTON, GA 30014-6652
(404) 966-0324
Mailing address
2131 PACE ST, COVINGTON, GA 30014-6652
(404) 966-0324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43038
GA
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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