PROACTIVE MSO, LLC

SIMPSONVILLE, SC
NPI1619551744
Entity TypeOrganization
Authorized ContactAMANDA JAMES
COO
913-208-2085
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2021-05-05
Last Update Date2024-07-25
Business Address
PROACTIVE MSO, LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
Mailing Address
PROACTIVE MSO, LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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