Organization
PROACTIVE - SOUTH CENTRAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LOWE (FINANCE MANAGER)
(812) 645-1892
Entity
Organization
Contact information
Practice address
9808 S 600 W, UNION MILLS, IN 46382-9600
(812) 645-1892
Mailing address
9808 S 600 W, UNION MILLS, IN 46382-9600
(812) 645-1892
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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