| NPI | 1336386770 |
|---|---|
| Former Legal Business Name | PROGRESSIVE HEALTH, LLC |
| Entity Type | Organization |
| Authorized Contact | YASMIN K BUDHWANI Administrator 678-924-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |