PROACTIVE MD FL LLC

SIMPSONVILLE, SC
NPI1386490126
Entity TypeOrganization
Authorized ContactJASON CRUMPLER
EVP Medical Affairs
864-395-2031
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2024-04-24
Last Update Date2024-04-24
Business Address
PROACTIVE MD FL LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
Mailing Address
PROACTIVE MD FL LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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