Organization
PROACTIVE MD TN PC
Active
Other names
Thrive Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JODY ADDAIR (CLINICAL OPS PROJECT COORDINATOR)
(317) 556-0017
Entity
Organization
Contact information
Practice address
100 N MAIN ST RM 105, CLINTON, TN 37716-3623
(865) 350-5225
Mailing address
124 ALLAWOOD CT, SIMPSONVILLE, SC 29681-6207
(864) 501-0751
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
11/22/2024
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