| NPI | 1003356361 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2017-03-06 |
| Last Updated | 2017-03-06 |
| Authorized Official | Richard Mills COO Phone: 6787942216 |
| Mailing Address | 790 Church St Ne, Suite 220 Marietta, GA 30060-7282 United States Phone: (678) 753-9300 | Fax: (678) 753-9300 📍 View Map |
| Primary Practice Address | 790 Church St Ne, Suite 220 Marietta, GA 30060-7282 United States Phone: (678) 753-9300 | Fax: (678) 753-9300 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QP2300X – Clinic/Center, Primary Care | — | — |
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About NPI 1003356361
Proactive Physicians Of Marietta, Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1003356361. The primary specialty listed is Clinic/Center, Primary Care. The organization is located in Marietta, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-03-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1003356361?
NPI 1003356361 belongs to Proactive Physicians Of Marietta, Pc, a Clinic/Center, Primary Care in Marietta, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1003356361 active?
The current status of NPI 1003356361 in the NPPES registry is Active. The record was last updated on 2017-03-06.
What specialty is NPI 1003356361?
NPI 1003356361 is classified under the taxonomy Clinic/Center, Primary Care. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1003356361?
You can verify NPI 1003356361 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1003356361?
The primary practice address on file for NPI 1003356361 is 790 Church St Ne, Marietta, GA 30060-7282. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1003356361 issued?
NPI 1003356361 was first issued (enumerated) on 2017-03-06. The NPPES record was last updated on 2017-03-06.
Practice Location Map
Proactive Physicians Of Marietta, Pc is located at 790 Church St Ne, Marietta, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Proactive Physicians Of Marietta, Pc. All records sourced from the CMS NPPES registry.