PROACTIVE MSO, LLC

LAFAYETTE, IN
NPI1336611201
Entity TypeOrganization
Authorized ContactJAN HOPKINS
Assoc. Ops Mrg
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2018-12-17
Last Update Date2022-07-26
Business Address
PROACTIVE MSO, LLC
4900 OLD US HIGHWAY 231 S
LAFAYETTE, IN 47909-2470
Phone number: 765-772-7098
Mailing Address
PROACTIVE MSO, LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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