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

Proactive Medical Clinic Corp

Organization General Practice Physician · NPI 1164163952

Proactive Medical Clinic Corp is a General Practice Physician 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
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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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