PROACTIVE MSO, LLC

VINCENNES, IN
NPI1326577396
Other NamePROACTIVE MD
Doing Business AsPROACTIVE MD VINCENNES HEALTH CENTER
Entity TypeOrganization
Authorized ContactJAN HOPKINS
Assoc. Ops. Mgr
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2017-06-05
Last Update Date2022-03-25
Business Address
PROACTIVE MSO, LLC
1602 UPPER 11TH ST
VINCENNES, IN 47591-4820
Phone number: 812-886-4557
Mailing Address
PROACTIVE MSO, LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751