Organization
PROACTIVE MD OK LLC
Active
Other names
CFI Woodward 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
1000 TERRA DR, WOODWARD, OK 73801-9596
(580) 290-1810
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
07/30/2021
Last updated
07/30/2021
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