| Proactive Md | |
|
124 Allawood Ct Simpsonville SC 29681-6207 | |
| (864) 501-0751 | |
| Not Available |
| Full Name | Proactive Md |
|---|---|
| Speciality | Clinic/center |
| Location | 124 Allawood Ct, Simpsonville, South Carolina |
| Authorized Official Name and Position | Jan Hopkins (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 8645010751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Md 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Md 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 |
| NPI Number | 1659816932 |
|---|---|
| Provider Enumeration Date | 12/22/2016 |
| Last Update Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659816932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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