PROACTIVE MSO, LLC

TERRE HAUTE, IN
NPI1972011815
Entity TypeOrganization
Authorized ContactJAN HOPKINS
Assoc. Ops Mgr
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2018-01-12
Last Update Date2022-03-25
Business Address
PROACTIVE MSO, LLC
3495 S 4TH ST
TERRE HAUTE, IN 47802-5501
Phone number: 812-220-4755
Mailing Address
PROACTIVE MSO, LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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