PROACTIVE MD SCP.A. NPI 1629842240

NPI Information

NPI: 1629842240
Provider Name: PROACTIVE MD SC,P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
125 PARK PLACE CT
LEXINGTON, SC
ZIP 29072
Phone: (803) 999-3380
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PROACTIVE MD SC,P.A. is a primary care clinic center in Lexington, SC. PROACTIVE MD SC,P.A. NPI is 1629842240. The provider is registered as an organization entity type.

The provider's business location address is:

125 PARK PLACE CT
LEXINGTON, SC
ZIP 29072-690
Phone: (803) 999-3380

The provider's authorized official is Daria Jones .
The authorized official title is Operations Project Coordinator and has the following contact phone number (864) 501-0751.

The enumeration date for this NPI number is 11/14/2023 and was last updated on 11/14/2023.

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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