Organization
PRO HEALTHCARE & DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LEACH (FINANCE LEADER)
(678) 736-6342
Entity
Organization
Contact information
Practice address
4646 N SHALLOWFORD RD, ATLANTA, GA 30338-6308
(678) 736-6342
Mailing address
2090 DUNWOODY CLUB DR STE 106-241, ATLANTA, GA 30350-5434
(678) 736-6342
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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