OrganizationActive
Prohealth Integrated Medical
NPI 1588782346 · Legal Medicine · Lawrenceville, GA
Provider details
- NPI number
- 1588782346
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Christopher Willis, Owner(770) 513-0111
- License
- CHIR005026 (GA)
Specialties & taxonomies
Other Service Providers
Chiropractic Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1431 Riverside Pkwy
Lawrenceville, GA 30043-5946
Phone: (770) 513-0111
Fax: (770) 513-3731
Street-level locationGet directions
Mailing address
1431 Riverside Pkwy
Lawrenceville, GA 30043-5946
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2010-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.