Organization
PROACTIVE MSO, LLC
Active
Other names
Proactive MD South Central Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAN MARIA HOPKINS (OPERATIONS MANAGER)
(864) 501-0751
Entity
Organization
Contact information
Practice address
9808 S 600 W, UNION MILLS, IN 46382-9600
(574) 935-0127
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
10/07/2022
Last updated
10/07/2022
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