PROACTIVE MSO, LLC

TERRE HAUTE, IN
NPI1457078321
Entity TypeOrganization
Authorized ContactJAN MARIA HOPKINS
Operations Manager
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2022-10-21
Last Update Date2022-10-21
Business Address
PROACTIVE MSO, LLC
3250 MAPLE AVE
TERRE HAUTE, IN 47804-1727
Phone number: 812-462-5799
Mailing Address
PROACTIVE MSO, LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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