PROACTIVE MSO, LLC

BLOOMINGTON, IN
NPI1427569367
Doing Business AsPROACTIVE MD MONROE HEALTH CENTER
Other NamePROACTIVE MD
Entity TypeOrganization
Authorized ContactJAN HOPKINS
Assoc. Ops Mgr
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2017-10-18
Last Update Date2022-03-25
Business Address
PROACTIVE MSO, LLC
524 N FAIRVIEW ST
BLOOMINGTON, IN 47404-3774
Phone number: 812-645-1892
Mailing Address
PROACTIVE MSO, LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751