| Proactive Md Ky Psc | |
|
124 Allawood Ct Simpsonville SC 29681-6207 | |
| (864) 501-0751 | |
| Not Available |
| Full Name | Proactive Md Ky Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 124 Allawood Ct, Simpsonville, South Carolina |
| Authorized Official Name and Position | Amanda James (COO) |
| Authorized Official Contact | 9132082085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Md Ky Psc 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Md Ky Psc 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 |
| NPI Number | 1609452929 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609452929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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