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Proactive Md Tn Pc
Primary Care Clinic/Center in Clinton, Tennessee
NPI 1073375242

Proactive Md Tn Pc is a Primary Care Clinic/Center based in Simpsonville, TN and is specialized in Primary Care. Proactive Md Tn Pc practices in Clinton, TN. The NPI Number for Proactive Md Tn Pc is 1073375242 and holds a License No. (Tennessee).

The current practice location address for Proactive Md Tn Pc is 100 N Main St Rm 105, Clinton, TN and can be reached out via phone at 865-350-5225. You can also correspond with Proactive Md Tn Pc through the mailing address at 124 ALLAWOOD CT, SIMPSONVILLE, SC - 29681-6207 (mailing address contact number: 864-501-0751).

Location: 100 N Main St Rm 105, Clinton, TN, 29681-6207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073375242
Provider Name
Proactive Md Tn Pc
Credential
Provider Entity Type
Organization
Address
100 N Main St Rm 105, Clinton, TN, 29681-6207
Phone Number
865-350-5225
Fax Number
Provider Enumeration Date
01/24/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
100 N Main St Rm 105
City
Clinton
State
Tennessee
Zip
37716-3623
Phone Number
865-350-5225
Fax Number
person
Provider Business Mailing Address Details
Address
100 N Main St Rm 105
City
Clinton
State
Tennessee
Zip
37716-3623
Phone Number
865-350-5225
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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