PROGRESSIVE MEDICAL CENTER PC NPI 1649413238

NPI Information

NPI: 1649413238
Provider Name: PROGRESSIVE MEDICAL CENTER, PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4646 N SHALLOWFORD RD
#500
ATLANTA, GA
ZIP 30338
Phone: (770) 676-6000
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PROGRESSIVE MEDICAL CENTER, PC is a general practice in Atlanta, GA. PROGRESSIVE MEDICAL CENTER, PC NPI is 1649413238. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4646 N SHALLOWFORD RD
#500
ATLANTA, GA
ZIP 30338-308
Phone: (770) 676-6000

The provider's authorized official is Frank Paul Matalone .
The authorized official title is Physician and has the following contact phone number (770) 676-6000.

The enumeration date for this NPI number is 4/12/2009 and was last updated on 4/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism			No
2	208D00000X	General Practice				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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