PROACTIVE MSO, LLC

CRAWFORDSVILLE, IN
NPI1174169908
Entity TypeOrganization
Authorized ContactJAN HOPKINS
Assoc. Ops Mgr
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2019-11-27
Last Update Date2022-03-25
Business Address
PROACTIVE MSO, LLC
1720 LAFAYETTE RD STE A
CRAWFORDSVILLE, IN 47933-4603
Phone number: 812-645-1945
Mailing Address
PROACTIVE MSO, LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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