Organization
PROACTIVE MD WI SC
Active
Other names
Proactive MD Brakebush Westfield Health Center, PROACTIVE MD
Organization subpart
No
Provider details
NPI number
Authorized official
JAN HOPKINS (ASSOC. OPS MGR)
(864) 501-0751
Entity
Organization
Contact information
Practice address
BRAKEBUSH HEALTH CENTER, N4993 6TH DR., WESTFIELD, WI 53964
(800) 933-2121
Mailing address
124 ALLAWOOD CT, SIMPSONVILLE, SC 29681-6207
(864) 501-0751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
04/01/2022
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