PROACTIVE MD MS LLC

ECRU, MS
NPI1740042563
Doing Business AsASHLEY WELLNESS CENTER
Entity TypeOrganization
Authorized ContactABBY ROBB RUSSELL
Director Of Implementations
864-900-5687
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2024-01-26
Last Update Date2024-01-26
Business Address
PROACTIVE MD MS LLC
6543 MS-15
ECRU, MS 38841
Phone number: 662-489-2669
Mailing Address
PROACTIVE MD MS LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751