| Proactive Md Ms Llc | |
|
6543 Ms-15 Ecru MS 38841 | |
| (662) 489-2669 | |
| Not Available |
| Full Name | Proactive Md Ms Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6543 Ms-15, Ecru, Mississippi |
| Authorized Official Name and Position | Abby Robb Russell (DIRECTOR OF IMPLEMENTATIONS) |
| Authorized Official Contact | 8649005687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Md Ms Llc 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Md Ms Llc 6543 Ms-15 Ecru MS 38841 Ph: (662) 489-2669 |
| NPI Number | 1740042563 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740042563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Children's Clinic-ecru Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Main St, Ecru, MS 38841 Phone: 662-489-4345 | |
Ashley Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Highway 346, Ecru, MS 38841 Phone: 662-489-2669 Fax: 662-489-2670 | |
Ecru Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Main Street, Ecru, MS 38841 Phone: 662-489-4345 Fax: 662-489-8975 | |
Access School Health - North Pontotoc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8324 Highway 15 N, Ecru, MS 38841 Phone: 662-489-5613 Fax: 662-488-9162 |