| NPI | 1083250351 |
|---|---|
| Doing Business As | PROACTIVE MD PLYMOUTH HEALTH CENTER |
| Doing Business As | PROACTIVE MD |
| Entity Type | Organization |
| Authorized Contact | JODY ADDAIR Clinical Ops Project Coordinator 317-556-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2025-06-24 |