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Progressive Community Healthcare
Clinic/Center in Atlanta, Georgia
NPI 1407877764

Progressive Community Healthcare is a Clinic/Center based in Atlanta, GA. Progressive Community Healthcare practices in Atlanta, GA. The NPI Number for Progressive Community Healthcare is 1407877764 and holds a License No. (Georgia).

The current practice location address for Progressive Community Healthcare is 494 Boulevard Se, Atlanta, GA and can be reached out via phone at 404-607-1002 and via fax at 404-607-1031.

Location: 494 Boulevard Se, Atlanta, GA, 30308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407877764
Provider Name
Progressive Community Healthcare
Credential
Provider Entity Type
Organization
Address
494 Boulevard Se, Atlanta, GA, 30308
Phone Number
404-607-1002
Fax Number
404-607-1031
Provider Enumeration Date
07/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
229783620B 05 GA
institution
Provider Business Practice Location Address Details
Address
494 Boulevard Se
City
Atlanta
State
Georgia
Zip
30312-3426
Phone Number
404-607-1002
Fax Number
404-607-1031
person
Provider Business Mailing Address Details
Address
494 Boulevard Se
City
Atlanta
State
Georgia
Zip
30312-3426
Phone Number
404-607-1002
Fax Number
404-607-1031
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
(Georgia)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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