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1861175697
PROACTIVE MD TX PROFESSIONAL CORPORATION
SIMPSONVILLE, SC
NPI
1861175697
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Entity Type
Organization
Authorized Contact
JAN MARIA HOPKINS
Operations Manager
864-501-0751
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
PROACTIVE MD TX PROFESSIONAL CORPORATION
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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Mailing Address
PROACTIVE MD TX PROFESSIONAL CORPORATION
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
Copy
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