| Progressive Medical Clinic Llc | |
|
2098 Teron Trce Ste 300 Dacula GA 30019-1667 | |
| (770) 614-4060 | |
| (678) 482-7788 |
| Full Name | Progressive Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2098 Teron Trce Ste 300, Dacula, Georgia |
| Authorized Official Name and Position | Benjamin Mitchell (OWNER) |
| Authorized Official Contact | 7706144060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Medical Clinic Llc 2098 Teron Trce Ste 300 Dacula GA 30019-1667 Ph: (770) 614-4060 | Progressive Medical Clinic Llc 2098 Teron Trce Ste 300 Dacula GA 30019-1667 Ph: (770) 614-4060 |
| NPI Number | 1992301402 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 02/19/2021 |
| Medicare PECOS PAC ID | 1153736087 |
|---|---|
| Medicare Enrollment ID | O20210226000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992301402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Nyabilondi Ebama |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467618900 PECOS PAC ID: 1850562976 Enrollment ID: I20190329002291 |
Lemon Juice Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2817 James Henry Dr, Dacula, GA 30019 Phone: 678-638-9579 | |
Human Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250b Auburn Rd Ste 202, Dacula, GA 30019 Phone: 678-689-6881 | |
Independent Physical Therapy Of Georgia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3625 Braselton Hwy Ste 204, Dacula, GA 30019 Phone: 423-238-7217 | |
Neuropathy Wellness Specialists, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3635 Braselton Hwy, Suite C, Dacula, GA 30019 Phone: 470-238-3050 | |
Good Landing Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2541 Second Avenue, Dacula, GA 30019 Phone: 770-450-6120 | |
Covenant Family Medicine Gmg Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2098 Teron Trce, Suite 150, Dacula, GA 30019 Phone: 678-730-1620 | |
Integrative Medical Management Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Dacula Rd Ste 4a, Dacula, GA 30019 Phone: 678-478-4305 Fax: 678-608-3411 |