| NPI | 1780340117 | 
|---|---|
| Doing Business As | PROACTIVE MD MISSION TO THE WORLD HEALTH CENTER | 
| Entity Type | Organization | 
| Authorized Contact | JAN HOPKINS Assoc. Ops Mgr 864-501-0751  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care | 
| Enumeration Date | 2021-11-10 | 
| Last Update Date | 2021-11-10 |