Organization
PROACTIVE MD GA, LLC
Active
Other names
Tindall Conley Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAN HOPKINS (ASSOC. OPERATIONS MANAGER)
(864) 501-0751
Entity
Organization
Contact information
Practice address
3361 GRANT RD, CONLEY, GA 30288-2133
(678) 244-7933
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
11/17/2020
Last updated
02/23/2023
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