PROACTIVE MD SCP.A. NPI 1538713813

NPI Information

PROACTIVE MD SC,P.A. is a primary care clinic center in Spartanburg, SC. PROACTIVE MD SC,P.A. NPI is 1538713813. The provider is registered as an organization entity type.
The provider Is Doing Business As Proactive Md Spartanburg Health Center.

The provider's business location address is:

101 W SAINT JOHN ST STE 107
SPARTANBURG, SC
ZIP 29306-157
Phone: (864) 342-7070
Fax: (864) 573-5918

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

The enumeration date for this NPI number is 7/25/2019 and was last updated on 12/5/2022.

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:

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