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1609452929
PROACTIVE MD KY PSC
SIMPSONVILLE, SC
NPI
1609452929
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Entity Type
Organization
Authorized Contact
AMANDA JAMES
COO
913-208-2085
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-03-18
Last Update Date
2024-07-31
Business Address
PROACTIVE MD KY PSC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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Mailing Address
PROACTIVE MD KY PSC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
Copy
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