Progressive Medical Clinic Llc

LBN: Progressive Medical Clinic Llc
Progressive Medical Clinic Llc is an health care organization with primary practice located at 2098 Teron Trce Ste 300 , Dacula GA 30019-1667. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty. Progressive Medical Clinic Llc can be contacted via phone (770) 614-4060, or through Mitchell, Benjamin via phone (770) 614-4060.

Contact Information

Primary practice address
2098 Teron Trce Ste 300 Dacula GA 30019-1667
Phone: (770) 614-4060
Fax: (678) 482-7788
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Benjamin
Phone: (770) 614-4060

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1992301402
LBN Legal business name Progressive Medical Clinic Llc
DBA Doing business as
Authorized official Mitchell, Benjamin
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2020
Last updated Feb 19th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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