Proactive Md | |
124 Allawood Ct Simpsonville SC 29681-6207 | |
(864) 501-0751 | |
Not Available |
Full Name | Proactive Md |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 124 Allawood Ct, Simpsonville, South Carolina |
Authorized Official Name and Position | Jody Addair (CLINICAL OPS PROJECT COORD.) |
Authorized Official Contact | 8645010751 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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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 | 1316710742 |
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Provider Enumeration Date | 11/07/2023 |
Last Update Date | 09/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316710742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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