Organization
PROACTIVE HEALTHCARE SOLUTIONS, LLC
Active
Organization
PROACTIVE HEALTHCARE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT VENEZIANO D.C. (SOLE MEMBER)
(678) 602-2569
Entity
Organization
Contact information
Practice address
2434 WALL ST SE, SUITE A, CONYERS, GA 30013-6760
(770) 679-5515
(770) 648-6682
Mailing address
741 LYNN MILAM LN, CONYERS, GA 30094-4108
(678) 602-2569
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5106
GA
Other
Enumeration date
03/06/2012
Last updated
07/25/2016
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