PROACTIVE MD SCP.A. NPI 1073279402

NPI Information

NPI: 1073279402
Provider Name: PROACTIVE MD SC,P.A.

Doing Business As: PROACTIVE MD MOUNT PLEASANT HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
900 BOWMAN RD STE 103
MOUNT PLEASANT, SC
ZIP 29464
Phone: (864) 501-0751
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PROACTIVE MD SC,P.A. is a primary care clinic center in Mount Pleasant, SC. PROACTIVE MD SC,P.A. NPI is 1073279402. The provider is registered as an organization entity type.
The provider Is Doing Business As Proactive Md Mount Pleasant Health Center.

The provider's business location address is:

900 BOWMAN RD STE 103
MOUNT PLEASANT, SC
ZIP 29464-218
Phone: (864) 501-0751

The provider's authorized official is Jan Hopkins .
The authorized official title is Assoc. Operations Mgr. and has the following contact phone number (864) 501-0751.

The enumeration date for this NPI number is 11/10/2021 and was last updated on 12/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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