Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proactive Medical Clinic Corp

Organization General Practice Physician · NPI 1164163952

Proactive Medical Clinic Corp provides General Practice Physician services in Duluth, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3455 Peachtree Industrial Blvd Ste 910
Duluth, GA 30096-6502
Phone: (678) 584-5000
Fax: (678) 212-4040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1164163952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Hyun — Ceo · (678) 584-5000
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502

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