Organization
PROACTIVE MD NM, LLC
Active
Other names
Proactive MD SONM Santa Fe Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAN HOPKINS (ASSOC. OPS MGR)
(864) 501-0751
Entity
Organization
Contact information
Practice address
1100 S SAINT FRANCIS DR STE 1000, SANTA FE, NM 87505-4147
(864) 501-0751
Mailing address
124 ALLAWOOD CT., ALLAWOOD CT, SIMPSONVILLE, SC 29681
(864) 501-0751
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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