Organization
PROACTIVE MD NM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN HOPKINS (ASSOC. OPERATIONS MANAGER)
(864) 501-0751
Entity
Organization
Contact information
Practice address
1107 E. MAIN ST., ARTESIA, NM 88210
(864) 501-0751
Mailing address
10 CENTIMETERS DR, MAULDIN, SC 29662-3278
(864) 501-0751
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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