Proactive Healthcare Solutions, Llc | |
2434 Wall St Se Suite A Conyers GA 30013-6760 | |
(770) 679-5515 | |
(770) 648-6682 |
Full Name | Proactive Healthcare Solutions, Llc |
---|---|
Speciality | Clinic/center |
Location | 2434 Wall St Se, Conyers, Georgia |
Authorized Official Name and Position | Vincent Veneziano (SOLE MEMBER) |
Authorized Official Contact | 6786022569 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Proactive Healthcare Solutions, Llc 741 Lynn Milam Ln Conyers GA 30094-4108 Ph: (678) 602-2569 | Proactive Healthcare Solutions, Llc 2434 Wall St Se Suite A Conyers GA 30013-6760 Ph: (770) 679-5515 |
NPI Number | 1780958835 |
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Provider Enumeration Date | 03/06/2012 |
Last Update Date | 07/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780958835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 5106 (Georgia) | Primary |
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