PROACTIVE MD KY PSC

SIMPSONVILLE, SC
NPI1609452929
Entity TypeOrganization
Authorized ContactAMANDA JAMES
COO
913-208-2085
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2021-03-18
Last Update Date2024-07-31
Business Address
PROACTIVE MD KY PSC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
Mailing Address
PROACTIVE MD KY PSC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751