NPI | 1407500309 |
---|---|
Doing Business As | PROACTIVE MD SONM SANTA FE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JAN HOPKINS Assoc. Ops Mgr 864-501-0751 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2022-02-09 |
Last Update Date | 2022-02-09 |