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

Proactive Physicians of Marietta, PC

Organization Primary Care Clinic/Center · NPI 1003356361

Proactive Physicians of Marietta, PC is a Primary Care Clinic/Center in Marietta, Georgia. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

790 Church St NE Ste 220
Marietta, GA 30060-7282
Phone: (678) 753-9300
Fax: (678) 753-9300
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1003356361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Mills — Coo · (678) 794-2216
NPI enumeratedMarch 6, 2017
Last updated in NPPESMarch 6, 2017
Mailing address790 Church St Ne, Suite 220, Marietta, GA 30060-7282

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