PROACTIVE MD LA A

DONALDSONVILLE, LA
NPI1235898917
Doing Business AsPMD CF DONALDSONVILLE HEALTH CENTER
Entity TypeOrganization
Authorized ContactJAN HOPKINS
Assoc. Ops. Mgr.
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2021-12-10
Last Update Date2021-12-10
Business Address
PROACTIVE MD LA A
39018 HWY 3089 HEALTH CENTER
DONALDSONVILLE, LA 70346
Phone number: 225-725-2005
Mailing Address
PROACTIVE MD LA A
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751