Provider Demographics
NPI:1801346978
Name:PROPER CONCEPTS, INC.
Entity type:Organization
Organization Name:PROPER CONCEPTS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-833-9992
Mailing Address - Street 1:3600 DALLAS HWY SW
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-1675
Mailing Address - Country:US
Mailing Address - Phone:770-628-5633
Mailing Address - Fax:678-868-1417
Practice Address - Street 1:3600 DALLAS HWY SW
Practice Address - Street 2:SUITE 210
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-1675
Practice Address - Country:US
Practice Address - Phone:770-628-5633
Practice Address - Fax:678-868-1417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty