Progressive Medical Centers Of America Ltd
Integrative Medicine in Atlanta, GA. Organization (NPI-2).
NPI number1174416622
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1174416622
- Entity type
- Organization (NPI-2)
- Legal business name
- Progressive Medical Centers Of America Ltd
- Organization subpart
- No
- Enumeration date
- Jun 2, 2025
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202D00000X | Integrative Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
4646 N Shallowford RdAtlanta, GA 30338-6308
Phone 770-676-6000 · Fax 844-313-6296
Mailing address
4646 N Shallowford RdAtlanta, GA 30338-6308
Phone 770-676-6000 · Fax 844-313-6296
Authorized official
Carol Thompson
Billing Manager
7706766000
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