Proactive Md Nm, Llc | |
10 Centimeters Dr Mauldin SC 29662-3278 | |
(864) 501-0751 | |
Not Available |
Full Name | Proactive Md Nm, Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 10 Centimeters Dr, Mauldin, 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 Nm, Llc 10 Centimeters Dr Mauldin SC 29662-3278 Ph: (864) 501-0751 | Proactive Md Nm, Llc 10 Centimeters Dr Mauldin SC 29662-3278 Ph: (864) 501-0751 |
NPI Number | 1700465002 |
---|---|
Provider Enumeration Date | 04/05/2021 |
Last Update Date | 07/31/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700465002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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