| Proactive Md La A | |
|
39018 Hwy 3089 Health Center Donaldsonville LA 70346 | |
| (225) 725-2005 | |
| Not Available |
| Full Name | Proactive Md La A |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 39018 Hwy 3089, Donaldsonville, Louisiana |
| Authorized Official Name and Position | Jan Hopkins (ASSOC. OPS. MGR.) |
| Authorized Official Contact | 8645010751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Md La A 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Md La A 39018 Hwy 3089 Health Center Donaldsonville LA 70346 Ph: (225) 725-2005 |
| NPI Number | 1235898917 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235898917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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