NPI | 1548713514 |
---|---|
Doing Business As | PROACTIVE MD GREATER CLARK 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 | 2016-07-26 |
Last Update Date | 2022-03-25 |