PROGRESSIVE MEDICAL CLINIC LLC is an adult medicine family medicine in Dacula, GA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. PROGRESSIVE MEDICAL CLINIC LLC NPI is 1992301402. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2098 TERON TRCE STE 300 DACULA, GA ZIP 30019-667 Phone: (770) 614-4060 Fax: (678) 482-7788
The provider's authorized official is Benjamin Mitchell . The authorized official title is Owner and has the following contact phone number (770) 614-4060.
The enumeration date for this NPI number is 12/9/2020 and was last updated on 2/19/2021.
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:
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: 11/21/2025
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