Organization
PROACTIVE MSO, LLC
Active
Other names
Proactive MD, Proactive MD Plymouth Health 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
510 W ADAMS ST STE GL30, PLYMOUTH, IN 46563-1784
(812) 645-1892
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
11/21/2019
Last updated
06/24/2025
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