| NPI | 1932972353 |
|---|---|
| Doing Business As | PROACTIVE MD-VEGA HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JODY ADDAIR Clinical Ops Project Coord. 864-501-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-09-26 |