| Proactive Md | |
|
5325 N Cougar Rd New Carlisle IN 46552-9505 | |
| (864) 501-0751 | |
| Not Available |
| Full Name | Proactive Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5325 N Cougar Rd, New Carlisle, Indiana |
| 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 5325 N Cougar Rd New Carlisle IN 46552-9505 Ph: (864) 501-0751 |
| NPI Number | 1275179541 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275179541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
New Carlisle Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8988 E Us Highway 20, New Carlisle, IN 46552 Phone: 574-654-7779 Fax: 574-654-7780 |