PROACTIVE MD NM, LLC

SANTA FE, NM
NPI1407500309
Doing Business AsPROACTIVE MD SONM SANTA FE HEALTH CENTER
Entity TypeOrganization
Authorized ContactJAN HOPKINS
Assoc. Ops Mgr
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2022-02-09
Last Update Date2022-02-09
Business Address
PROACTIVE MD NM, LLC
1100 S SAINT FRANCIS DR STE 1000
SANTA FE, NM 87505-4147
Phone number: 864-501-0751
Mailing Address
PROACTIVE MD NM, LLC
124 ALLAWOOD CT. ALLAWOOD CT
SIMPSONVILLE, SC 29681
Phone number: 864-501-0751