| Proactive Md Spartanburg Health Center | |
|
101 W Saint John St Ste 107 Spartanburg SC 29306-5157 | |
| (864) 342-7070 | |
| (864) 573-5918 |
| Full Name | Proactive Md Spartanburg Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 101 W Saint John St Ste 107, Spartanburg, South Carolina |
| 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 Spartanburg Health Center 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Md Spartanburg Health Center 101 W Saint John St Ste 107 Spartanburg SC 29306-5157 Ph: (864) 342-7070 |
| NPI Number | 1538713813 |
|---|---|
| Provider Enumeration Date | 07/25/2019 |
| Last Update Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538713813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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