| Proactive Md | |
|
145 W Broad St Spartanburg SC 29306-3210 | |
| (864) 596-2988 | |
| (864) 336-2948 |
| Full Name | Proactive Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 145 W Broad St, 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 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Md 145 W Broad St Spartanburg SC 29306-3210 Ph: (864) 596-2988 |
| NPI Number | 1619535978 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619535978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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