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1578200028
PROACTIVE MD NC, PC
FAYETTEVILLE, NC
NPI
1578200028
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Entity Type
Organization
Authorized Contact
JAN MARIA HOPKINS
Assoc Manager Of Ops
864-501-0751
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
PROACTIVE MD NC, PC
226 BRADFORD AVE
FAYETTEVILLE, NC 28301-5404
Phone number: 910-433-3847
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Mailing Address
PROACTIVE MD NC, PC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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