Progressive Medical Clinic LLC
Progressive Medical Clinic LLC is an Adult Medicine Physician in Dacula, Georgia. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2098 Teron Trce Ste 300Dacula, GA 30019-1667
Phone: (770) 614-4060
Fax: (678) 482-7788
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 |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1992301402 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Benjamin Mitchell — Owner · (770) 614-4060 |
| NPI enumerated | December 9, 2020 |
| Last updated in NPPES | February 19, 2021 |
| Certification date | February 19, 2021 |
| Mailing address | 2098 Teron Trce Ste 300, Dacula, GA 30019-1667 |