Progressive Community Healthcare
Progressive Community Healthcare provides Adult Medicine Physician services in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
494 Blvd SEAtlanta, GA 30312-3426 Not confirmed with CMS for 14 years — call before visiting
Phone: (404) 607-1002
Fax: (404) 607-1031
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X (GA) |
Record details
| NPI number | 1407877764 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Quatoya Tyson — Clinical Office Coordinator · (404) 607-1002 |
| NPI enumerated | July 22, 2006 |
| Last updated in NPPES | December 13, 2011 |
| Mailing address | Po Box 54723, Atlanta, GA 30308 |
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