NPI | 1073279402 |
---|---|
Doing Business As | PROACTIVE MD MOUNT PLEASANT HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JODY ADDAIR Clinical Operations Project 317-556-0017 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2021-11-10 |
Last Update Date | 2024-11-22 |