Organization
PROACTIVE TOTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLLE BROCK PARAMEDIC (OWNER)
(770) 842-5775
Entity
Organization
Contact information
Practice address
5833 HILL RD, POWDER SPRINGS, GA 30127-4042
(770) 842-5775
Mailing address
5833 HILL RD, POWDER SPRINGS, GA 30127-4042
(770) 842-5775
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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