| NPI | 1457495616 |
|---|---|
| Other Name | PROACTIVE FITNESS |
| Entity Type | Organization |
| Authorized Contact | CAROLYN BLUE Practice Manager 770-322-7333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 033304) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2009-01-29 |