PROACTIVE MSO, LLC

BRAZIL, IN
NPI1174076145
Doing Business AsPROACTIVE MD BRAZIL HEALTH CENTER
Entity TypeOrganization
Authorized ContactJAN HOPKINS
Assoc. Ops Mgr
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: IN  01059956A)
Enumeration Date2016-07-26
Last Update Date2022-03-25
Business Address
PROACTIVE MSO, LLC
501 E JACKSON ST
BRAZIL, IN 47834-2650
Phone number: 812-420-1410
Mailing Address
PROACTIVE MSO, LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751