PROACTIVE MD GA, LLC

LAWRENCEVILLE, GA
NPI1780340117
Entity TypeOrganization
Authorized ContactJAN HOPKINS
Assoc. Ops Mgr
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2021-11-10
Last Update Date2021-11-10
Business Address
PROACTIVE MD GA, LLC
1600 N BROWN RD
LAWRENCEVILLE, GA 30043-8141
Phone number: 864-501-0751
Mailing Address
PROACTIVE MD GA, LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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