PROACTIVE MD NM, LLC

ARTESIA, NM
NPI1205416732
Entity TypeOrganization
Authorized ContactJAN HOPKINS
Assoc. Operations Manager
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2021-04-09
Last Update Date2021-04-09
Business Address
PROACTIVE MD NM, LLC
1107 E. MAIN ST.
ARTESIA, NM 88210
Phone number: 864-501-0751
Mailing Address
PROACTIVE MD NM, LLC
10 CENTIMETERS DR
MAULDIN, SC 29662-3278
Phone number: 864-501-0751
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